• Quality Improvement in Health Care
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• v.2 no.1
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• pp.68-84
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• 1995

Background: Guideline for practice is useful because it can be the standard for assessment and way to improve quality. We need to take account of expert opinion and consensus as well as scientific evidences to develope practice guideline because it should be practical. Delphi method has been developed to gather opinions from experts fairly. This study was designed to develop practice guideline and apply it to practices as a method to improve quality in primary medical care. Methods: Hypertension(in adults over 18 years old) was selected as a target problem. Self questionnaires about management of hypertensive patients were developed by a researcher with advice of 11 experts. The questionnaires were designed to response as a 5 pont scale. The results of previous questionary were given to respondents in second and third questionnaires. If needed, the questionnaires were changed on the previous responses. The items with medium greater than or equal to 4 point in 1st and 2nd responses were accepted in guideline. The items with medium lesser than or equal to 3 point were questioned again about whether they can be excluded or not. The criteria for assessment was made with reference to guideline and applied to 85 hypertensive patients of 9 family practitioners. At 3 months after practice guideline had been given to family practitioners, performance of same practitioners was assessed with 36 new hypertensive patients. Results: 23 professors in family medicine, 22 family practitioners and 6 cardiologists, responded among 50, 50, 15 respectively. Practice guideline with 33 items was developed as a result of 3 times questionaires. The difference of responses between professors in family medicine, family practitioners and cardiologists was not significant. Performance of practice was improved in diagnosis, history taking about 6 fields, laboratory examination and decision making about time of pharmaceutical prescription. It was not improved in physical examination, life style modification, method of pharmaceutical prescription, choice of initial antihypertensives and history taking about duration of disease and diet habit. It was decreased in history taking about psychosocial factors. The assessment scores were low in history taking, physical examination and life style modification before and after use of practice guideline. Conclusion: Practice guideline for hypertension could be developed by Delphi method. Performance of practice improved partially after use of guideline.

• Korean Journal of Computational Design and Engineering
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• v.21 no.2
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• pp.130-142
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• 2016

BIM library, as a systematic collection of BIM objects where the building information is stored, is a vital factor to construct the BIM based work environment. However, construction business is faced the problems relating BIM library such as the absence of the standard for establishing BIM library, the discontinuity of BIM library's compatibility and the lack of practice applicable BIM library. These problems cause the decreasing work efficiency and the recreating BIM model, by delivering inefficient information required in each stage and application field. The purpose of this study is to suggest the integrated management system for property information of BIM library in order to minimize the reworking and to manage information of each stage and application field when exchanging and sharing information. To achieve this, the BIM information classification, the criteria of property requirements for information exchange in BIM application field and the BIM library management system are developed. This study could contributes to ensuring the reliability and accuracy of results of BIM based analysis and to enhancing the speed of business process with sharing and exchanging building information utilizing a single BIM model.

• Computers and Concrete
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• v.4 no.1
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• pp.1-18
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• 2007

Over the past decades, an enormous amount of effort has been expended in laboratory and field studies on concrete durability estimation. The results of this research are still either widely scattered in the journal literature or mentioned briefly in the standard textbooks. Moreover, the theoretical approaches of deterioration mechanisms with a predictive character are limited to some complicated mathematical models not widespread in practice. A significant step forward could be the development of appropriate software for computer-based estimation of concrete service life, including reliable mathematical models and adequate experimental data. In the present work, the basis for the development of a computer estimation of the concrete service life is presented. After the definition of concrete mix design and structure characteristics, as well as the consideration regarding the environmental conditions where the structure will be found, the concrete service life can be reliably predicted using fundamental mathematical models that simulate the deterioration mechanisms. The prediction is focused on the basic deterioration phenomena of reinforced concrete, such as carbonation and chloride penetration, that initiate the reinforcing bars corrosion. Aspects on concrete strength and the production cost are also considered. Field observations and data collection from existing structures are compared with predictions of service life using the above model. A first attempt to develop a database of service lives of different types of reinforced concrete structure exposed to varying environments is finally included.

• Journal of Convergence for Information Technology
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• v.8 no.6
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• pp.31-41
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• 2018

The purpose of this study was to investigate the applicability of project - based learning as a teaching method for 'Dental Hygiene Practice' in the community dental hygiene department at G city S university. The subjects were 30 students in the fourth grade in 2018. Data collection period was from March 12 to June 27, and mean and standard deviation were compared using SPSS 20.0 program. The results of the analysis showed that the score of the team with high team performance was high ($3.91{\pm}0.82$), the students were required to practice ($4.10{\pm}0.88$), and the feedback from the professor ($3.73{\pm}0.86$) Satisfaction was high. It was determined that the application of project - based learning classes in the 'Community Dental Hygienic Field Practice' course was appropriate for the class.

• The Journal of the Korea Contents Association
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• v.12 no.8
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• pp.449-460
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• 2012

We investigated the differences between the teachers' perception and practice on portfolio assessments in kindergartens and daycare centers, and analyzed their dependence on various underlying factors. The participants of this study include 304 teachers in the kindergartens and daycare centers in J I G cities in Jeollabuk-do. The answers on the questionnaires were analysed by evaluating frequencies, percentage, averages, and standard deviations, and by carrying out paired t-test, ANOVA, and Scheff$\acute{e}$ verification using SPSS 18.0 program. The results of this study are summarized as follows. First, teachers' practice fell meaningfully short of their perception in every sub-categories of the method and the effect of the portfolio assessment. Among the various underlying factors, only teachers' educational level played significant role. The difference between the perception and practice was relatively large among the teachers with regular 4-year college diploma as compared to junior-college graduates. Second, as we examine the difficulties in the portfolio assessment, teachers in general found difficulties on the questionnaires in all sub-categories, although the dependence on the underlying factors varies across the sub-categories. For example, teachers with higher level of education or who work at public kindergartens felt relatively more difficulties in the portfolio assessment.

• Women's Health Nursing
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• v.26 no.1
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• pp.5-9
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• 2020

Artificial intelligence (AI), which includes machine learning and deep learning has been introduced to nursing care in recent years. The present study reviews the following topics: the concepts of AI, machine learning, and deep learning; examples of AI-based nursing research; the necessity of education on AI in nursing schools; and the areas of nursing care where AI is useful. AI refers to an intelligent system consisting not of a human, but a machine. Machine learning refers to computers' ability to learn without being explicitly programmed. Deep learning is a subset of machine learning that uses artificial neural networks consisting of multiple hidden layers. It is suggested that the educational curriculum should include big data, the concept of AI, algorithms and models of machine learning, the model of deep learning, and coding practice. The standard curriculum should be organized by the nursing society. An example of an area of nursing care where AI is useful is prenatal nursing interventions based on pregnant women's nursing records and AI-based prediction of the risk of delivery according to pregnant women's age. Nurses should be able to cope with the rapidly developing environment of nursing care influenced by AI and should understand how to apply AI in their field. It is time for Korean nurses to take steps to become familiar with AI in their research, education, and practice.

• Korean Journal of Computational Design and Engineering
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• v.10 no.3
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• pp.179-187
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• 2005

The usage of mixed 2D and 3D CAD data of commercial CAD systems is required in the construction practice. Sometimes 3D wireframe model is required by end-users when 2D CAD data is delivered. However, current KOSDIC can not represent 3D CAD data, because it has been developed as a 2D drawing delivery standard. Therefore, this study is to provide exchange and sharing of mixed 2D and 3D CAD data that add 3D wireframe model in the KOSDIC. To achieve this purpose, the authors have investigated the 3D CAD entities of commercial CAD systems, and have analyzed STEP standards providing 3D wireframe model. The result, the authors have extracted 3D CAD common entities based wireframe model which shall be added in the KOSDIC. This study can be beneficial by using the developed data model for heterogeneous CAD systems, and by providing the representation of mixed 2D and 3D CAD data in construction practice such as GIS, piping system, and so forth.

• Journal of the Korean Physical Society
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• v.73 no.12
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• pp.1814-1820
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• 2018

With the publication of TRS-483 in late 2017 the IAEA has established an international code of practice for reference dosimetry in small and non-standard fields based on a formalism first suggested by Alfonso et al. in 2008. However, data on beam quality correction factors ($k^{f_{msr},f_{ref}}_{Q_{msr},Q_0}$) for the Leksell Gamma $Knife^{(R)}$ $Perfexion^{TM}$ is scarce and what little data is available was obtained under conditions not necessarily in accordance with the IAEA's recommendations. This study constitutes the first systematic attempt to calculate those correction factors by applying the new code of practice to Monte Carlo simulation using the GEANT4 toolkit. $k^{f_{msr},f_{ref}}_{Q_{msr},Q_0}$ values were determined for three common ionization chamber detectors and five different phantom materials, with results indicating that in most phantom materials, all chambers were well suited for reference dosimetry with the Gamma $Knife^{(R)}$. Similarities and differences between the results of this study and previous ones were also analyzed and it was found that the results obtained herein were generally in good agreement with earlier PENELOPE and EGSnrc studies.

• The Korean Journal of Emergency Medical Services
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• v.5 no.1
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• pp.7-14
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• 2001

The purposes of this study which was conducted by inquiring into some curricula for Emergency Medical Dispatchers(EMDs) are to introduce a curriculum into Korea and develop a textbook for training of the EMDs in Korea. The conclusions from this study were summarized as follows; (1) There are some professional demands in our Emergency Medical Dispatch field therefore, now it is necessary to set up an education system for the EMDs in Korea and give them a suitable name to this change. (2) Some historical turning points which are condensed from the developmental process in the USA. including "Medical Self Help" with no formal dispatch protocols, Medical Priority Dispatch System, Practice Standard, Dispatch Protocols will serve as a good reference for establishing and education system for the EMDs. (3) To effectively train the EMDs in Korea, we needed to be introduced to Emergency Medical Dispatch : National Standard of Curriculum from the U.S. Department of Transportation & the National Highway Traffic Safety Administration which is made up Basic Emergency Medical Concepts, Information Gatherin & Dispatch, Introduction to the Emergency Medical Dispatch Protocol Reference System(EMDPRS) & 32 Chief Complaint Types. (4) The introduced curriculum closely related to the medical director, the direct indirect medical control, the scope of practice in the USA, should be revised for the Emergency Medical Service System of Korea. But to reduce the developmental process & time, it is necessary to postpone the consideration on these factors until publishing a new textbook. (5) This study which gives the cornerstone about some developmental methods on textbook for EMDs will be helpful to build up an education system for EMDs such as Curriculum, EMD Certification, National Academy of Emergency Medical Dispatch to fit the Emergency Medical Service System of Korea in the future.

• 보존과학연구
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• s.30
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• pp.63-77
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• 2009

Scientific studies of conservation techniques and materials in Korea have experienced fast development since international practice and academic knowledge have been introduced to Korea from Japan, France, Germany, and etc from the late 1960s. In recent years, it has been observed that the academic standard of research and the level knowledge of the field in Korea at present are far advanced to compete with many countries. However, many Korean cases still have displayed that the standard and the quality of conservation practice need to be improved. This research examined several cases of derelict restoration of metal relics executed by non-conservators and the effects of their ignorant use of irreversible materials on the valuable objects. The purpose of the study is to display the problem of such treatments and to suggest a need of framework to prevent the loss of original form from them. Metal Buddha statue (Cosmic Buddha) in Borim Temple (National Treasure No. 117), which was conserved by an unexperienced non-conservator, has suffered from a serious problem of corrosion because of the use of destructive material, iron chloride. Another case for metal Buddha statue in Dopian Temple (National Treasure No. 63) displays a representative example of using irreversible materials, Cashew and such ignorant application made a later conservation treatment so difficult in removing the material from the surface of the statue. In conclusion, the research argued that the understanding of materials used in the objects, and the value of relics is important, and pre-experiments before applying conservation materials to a valuable heritage are essential in the conservation treatment.