Journal of Korean Academy of Nursing Administration
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제10권1호
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pp.25-36
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2004
Purpose: Nursing puts much weight en the organization of hospital. Therefore it is necessity to improve nursing care. One of the most important things is to secure confident nurses and to develop nurse' potentiality. It directs nurse evaluation system. The concept of "performance appraisal tools" is extremely important in evaluation system. Therefore, the purpose of this study aims to define performance appraisal process. Method: In order to do this, two main study has been observed interviewing appraisers and employees in-depth and analyzing performance appraisal tools of seven hospitals and analysed validity, reliability, acceptability and practicability. Result: The result of this study can be summarized as follows; Firstly, the result of analysis of performance appraisal tools. Regard to validity, Hospitals had a typical goal, but had not put to practice use. Regard to reliability, 1) Appraisal rule had been focused on appraiser's error, how to avoid. 2) 5 hospitals accessed nurses with relative rating and 2 hospitals with absolute rating both in practice. 3) 3 hospitals informed nurses the result of performance appraisal but 4 hospitals did not. 4) All hospitals in this study had conducted superiors rating. Regard to acceptability, 1)Rating scale method had been implemented by 6 hospitals and among those conducted beth ranking method and descriptive method. 2) Most hospitals had focused on personal traits in performance appraisal factors. Regard to practicality, The term of appraisal took $10{\sim}14$ days; performance appraisal happened 1 or 2 times per year; appraisal factors were based on 10 different items. Secondly, the result of in-depth interview with head nurses and staff nurses Regard to validity, head nurses and nurses wared that the goal of performance appraisal is to develop nurse's ability. Regard to reliability, head nurses pointed out that they were doubt of the justice of performance appraisal and they should have got training. Nurses insisted that raters should have been trained due to lack of qualification of appraiser; Head nurses and nurse proposed to convert form relative rating to absolute rating; to inform the result of appraisal; to implement peers rating. Regard to acceptability, One of the critical problems of performance appraisal tools was abstract of appraisal factors ; Lack of job analysis. Regard to practicality, Head nurses used to take overtime for appraisal. There was only a little respond despite of their efforts. Nurses questioned that appraisal tools exist for only appraisal; there was less cost-effectiveness. Conclusion: Based en these findings, it could be suggested to improve the performance appraisal tools for nurses evaluation. Firstly, it is necessary to describe goal of performance appraisal clearly set up, so that nurses could improve their positive word performance and develop their potentiality. Secondly, it is necessary to obtain various training on raters, implement absolute rating and inform the result of appraisal to nurses and use peers rating. Thirdly, it is necessary to convert from rating scale method to management by objectives or behaviorally anchored rating scale and take measurable appraisal factors based en job analysis. Finally, it is necessary to reduce the appraisal cost but increase effectiveness of performance appraisal.
The incidence data (1991. 7. 1$\sim$1992. 6. 30) from the Implementation Study of Seoul Cancer Registry (ISSCR) were evaluated in terms of its completeness and validity. Two indicators for the completeness, Mortality/Incidence ratio (M/I ratio) and Age-specific Incidence Curve, showed fairy good registration throughout the age-sex specific strata, except the strata aged over 75 years old. The strata had very high M/I ratio (over 100%) and decreasing pattern of incidence, which suggested incomplete registration of cancer in this group. The active surveillance by a ISSCR staff improved the registration rate especially among elderlies. From the site specific M/I ratio, we found that liver cancer had oddly high M/I ratio. Since this high M/I ratio of liver cancer appears consistently in other reliable cancer registries, it is more like to be due to the high fatality of it rather than incomplete registration. The validity of the incidence data was assessed by three indicators; Histological Verification (HV%), Primary Site Unknown (PSU%), and Age Unknown (Age UNK%). The average HV% were 77% for men and 85% for women, which were slightly lower than those of other reliable cancer registries. This low HV% might be due to the considerable size of relative frequency of liver cancer in Korea, regarding the fact that the diagnosis of liver cancer is made mostly by non-biopsical radiologic methods (CT, Ultrasono, Angiography, MRI etc.). The level of PSU% and Age UNK% were in acceptable range, but not low enough, especially in terms of Age UNK%. Although ISSCR data had acceptable quality in general, it is needed to have more hospitals participate in the registry surveillance, to make registery data merged with death certificate data regulary, and educate the registration stans to be more competent and dedicated.
The aim of the present study was to assess criterion validity and external reliability of a questionnaire on risk factors for breast cancer. Materials and Methods. Women with breast cancer diagnosis (the cases) (N=40) and matched individuals without cancer (the controls) (N=40) were asked to fill in a questionnaire twice: on a day of admission to hospital (Q1) and on a day before discharge (Q2), with a time interval of 4-6 days. The questionnaire included questions (N=150) on demographic and socioeconomic factors, diseases in the past, family history of cancer, woman's health, smoking, alcohol use, diet, physical activity, and work environment. Criterion validity of the questionnaire Q2 relative to reference questionnaire Q1 was assessed with the Spearman correlation coefficient (SCC); external reliability of the questionnaire was measured in terms of the intraclass correlation coefficient (ICC). Statistical analysis was performed with SPSS 16. Results. The responses to most of the questions on socioeconomic factors, family history on cancer, female health, lifestyle risk factors (smoking, alcohol use, physical activity) correlated substantially in both the cases and the controls with SCC and ICC>0.7 (p<0.01). Statistically non significant relationships defined only between the responses on amount of beer the cases drank at the ages up to 25 years and 26-35 years as well as time of use of estrogen and estrogens-progestin during menopause by the cases. Moderate and substantial SCC and ICC were determined for different food items. Only the response of the cases on veal consumption did not correlate significantly. Conclusions. The questionnaire on breast cancer risk factors is valid and reliable for most of the questions included.
Purpose: Catheter urine (CATH-U) and suprapubic aspiration (SPA) are reliable urine collection methods for confirming urinary tract infections (UTI) in infants. However, noninvasive and easily accessible collecting bag urine (CBU) is widely used, despite its high contamination rate. This study investigated the validity of CBU cultures for diagnosing UTIs, using CATH-U culture results as the gold standard. Methods: We retrospectively analyzed 210 infants, 2- to 24-month-old, who presented to a tertiary care hospital's pediatrics department between September 2008 and August 2013. We reviewed the results of CBU and CATH-U cultures from the same infants. Results: CBU results, relative to CATH-U culture results (${\geq}10^4$ colony-forming units [CFU]/mL) were widely variable, ranging from no growth to ${\geq}10^5CFU/mL$. A CBU cutoff value of ${\geq}10^5CFU/mL$ resulted in false-positive and false-negative rates of 18% and 24%, respectively. The probability of a UTI increased when the CBU bacterial count was ${\geq}10^5/mL$ for all infants, both uncircumcised male infants and female infants (likelihood ratios [LRs], 4.16, 4.11, and 4.11, respectively). UTIs could not be excluded for female infants with a CBU bacterial density of $10^4-10^5$ (LR, 1.40). The LRs for predicting UTIs based on a positive dipstick test and a positive urinalysis were 4.19 and 3.11, respectively. Conclusion: The validity of obtaining urine sample from a sterile bag remains questionable. Inconclusive culture results from CBU should be confirmed with a more reliable method.
Journal of the Korea Academia-Industrial cooperation Society
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제21권9호
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pp.338-344
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2020
Intolerance of Uncertainty is associated with numerous psychopathologies, including generalized anxiety disorders. However, several studies differ in the factor structures applicable for the Intolerance of Uncertainty Scale (IUS), and there exists a debate regarding the factorial and construct validity. Thus, in the current study, the IUS was newly translated to explore and verify the structures and factors relative to the cultural background of Korea. The study involved an exploratory factor analysis of randomly extracted data from 260 of 533 adults selected. Results determined that a prospective factor of 3 items and inhibitory factor of 5 items was appropriate. In addition, a confirmatory factor analysis and correlation analysis of the remaining 273 data revealed that a structural model comprising of the 8-items two factors model was well suited (x2=37.699, TLI=0.951, CFI=0.969, RMSEA=0.063, SRMR=0.039), and showed significant static correlation with worry, depression, and state-trait anxiety.
LHR(Landfill Hazard Ranking Model) was developed for assessing the relative hazard of landfills by using the method of value-structured approach. LHR consists of combining a multiattribute decision-making method with a qualitative risk assessment approach. A pairwise comparision method was applied to determine weights of landfill factors related. To prove the validity of weights allocation of landfill hazard evaluation factors, sensitivity analysis was applied. Firstly, the impact on landfill hazard score according to variations of weights of landfill hazard factors was analyzed. Secondly, the impact on landfill hazard score according to conditions change of landfill hazard factors was analyzed. As a result of sensitivity analysis, LHR composite scores are largely influenced by some factors following sequential order such as waste volume, proximity to sensitive environments, containment facilities, distance from drinking water supplies, and waste toxicity. The relative order of landfill hazard evaluated by LHR is not influenced by the weights change of individual factors. Therefore, LHR seems to be a credible model to determine priorities of landfill remediation based on the vulnerability of water resources.
Transactions of the Korean Society of Mechanical Engineers B
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제27권12호
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pp.1750-1757
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2003
This paper describes the flow measurements inside the blade passage of an axial flow fan by using a rotating hot-wire probe sensor from a relative flame of reference fixed to the rotor blades. The validity of fan rotor designed by a streamline curvature equation was performed by the measurement of the three-dimensional flow upstream and downstream of the fan rotor using a 5-hole pitot tube. The vortical flow structure near the rotor tip can be clearly observed by the measurements of a relative velocity and its fluctuation on quasi-orthogonal planes to a tip leakage vortex. Larger vortical flow, which results in higher blockage in the main flow, is formed according to decrease a flow rate. The vortical flow spreads out to the 30 percent span from the rotor tip at near stall condition. In the design operating condition, the tip leakage vortex is moved downstream while the center of the vortex keeps constant in the spanwise direction. Detailed characteristics of a velocity fluctuation with relation to the vortex were also analyzed.
Journal of the Institute of Electronics Engineers of Korea SP
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제37권6호
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pp.70-75
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2000
This paper examines the performance of adaptive filtering algorithms in relation to the asymptotic relative efficiency (ARE) of estimators. The adaptive filtering algorithms are Hybrid II and modified zero forcing (MZF) algorithms. The Hybrid II and MZF algorithms are simplified forms of the LMS algorithm, which use the polarity of the input signal, and polarities of the error and input signals, respectively. The ARE of estimators for each algorithm is analyzed under the condition of the same convergence speed. Computer simulations for adaptive equalization are performed to check the validity of the theory. The explicit expressions for the ARE values of the Hybrid II and MZF algorithms are derived, and its results have similar values to the results of computer simulation. It also revealed that the ARE values depend on the correlation coefficients between input signal and error signal.
Proceedings of the Korean Society for Technology of Plasticity Conference
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한국소성가공학회 2002년도 금형가공 심포지엄
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pp.136-143
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2002
Warm draw die technique which is one of the new forming technologies to improve formability of sheet metal is applied to the cylindrical and square cup drawing of stainless-aluminum clad sheets. In experiments the temperature of die and blank holder is varied from room temperature to $180^{\circ}C$, while the punch is cooled by circulation of coolant to increase the fracture strength of workpiece on the punch comer area. Test materials chosen for experiments are STS304-A1050-STS304 clad sheets. Teflon film as a lubricant is used on both sides of a workpiece. The limit drawing ratio and relative drawing depth as well as quality of drawn cups(distribution of thickness)are investigated and validity of warm drawing process is also discussed. No separation between each laminated material after drawing occurred through inspection by microscope as well as application of penetrant remover and bond strength test. Therefore, warm forming technique was confirmed to give better results in deep drawing of stainless clad sheet metal.
PURPOSES : The purpose of this study is to verify traffic accident injury severity factors for elderly drivers and the relative relationship of these factors. METHODS : To verify the complicated relationship among traffic accident injury severity factors, this study employed a structural equation model (SEM). To develop the SEM structure, only the severity of human injuries was considered; moreover, the observed variables were selected through confirmatory factor analysis (CFA). The number of fatalities, serious injuries, moderate injuries, and minor injuries were selected for observed variables of severity. For latent variables, the accident situation, environment, and vehicle and driver factors were respectively defined. Seven observed variables were selected among the latent variables. RESULTS : This study showed that the vehicle and driver factor was the most influential factor for accident severity among the latent factors. For the observed variable, the type of vehicle, type of accident, and status of day or night for each latent variable were the most relative observed variables for the accident severity factor. To verify the validity of the SEM, several model fitting methods, including ${\chi}^2/df$, GFI, AGFI, CFI, and others, were applied, and the model produced meaningful results. CONCLUSIONS : Based on an analysis of results of traffic accident injury severity for elderly drivers, the vehicle and driver factor was the most influential one for injury severity. Therefore, education tailored to elderly drivers is needed to improve driving behavior of elderly driver.
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