• Korea Journal of Hospital Management
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• v.23 no.4
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• pp.15-25
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• 2018

Purposes: The objectives of this study present the direction of the criteria for the separately reimbursement of therapeutic medical device. Methodology: We summarized experts' opinion using Delphi survey and Analytic Hierarchy Process(AHP). 48 experts were gathered from Medical Insurance Review Nurses Association, medical device industry, academy and association, Medical Device Expert Evaluation Committee. Descriptive statistics, consistency index, content validity ratio were analyzed. Findings: Clinical utility, patient safety, infection control, cost-homogeneity, cost-effectiveness showed high feasibility and importance, but market contribution and functional utility showed low feasibility and importance in a relative sense. The results of functional utility differed between clinical and non-clinical experts. Measurability was low across the whole area. Among the criteria for the separately reimbursement of therapeutic medical device. Patient safety/infection control and clinical utility showed the highest relative importance values, analyzed using AHP. Practical Implications: Patient safety and infection control are needed to be considered as one of Value Assessment Criteria. It is important to find out how to improve the measurability of therapeutic medical device.

• Journal of Korean Academy of Nursing
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• v.29 no.2
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• pp.304-313
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• 1999

The purpose of this study is to test the reliability and validity test of PWI to utility of PWI. this newly developed by Sejin Jang which measures stress. The subject were 186 workers in service area. Cronbach's a and Guttman split-half coefficient is used to test the reliability of PWI. Factor analysis and the correlation of the GHQ-60. GHQ-30, GHQ-28, GHQ-20, and GHQ-12 with the PWI is used to convergent validity and discriminant validity. The important results of this study are as follows : Cronbach's $\alpha$ coefficient of data was 0.894 and Guttman split-half coefficient was 0.7097. The PWI was classified as 13 principle component (eigenvalue＞1.0). After exploring 4 factor structure according to previous study result, 4 factors was explained 40.5% out of the total variance. The factor 1 was explained 15.9% and then the rest three factor was 24.6%. Factor 2 and 4 showed good agreement but factor 1 and 3 did not. Depression-related items were classified two factors. Anxiety and depression-related items were loaded unifactor. It was not clear that the PWI was consist of 4 concepts(factors). The correlation of the GHQ-60, GHQ-30, GHQ-28, GHQ-20, and GHQ-12 with the PWI were 0.744~0.905. According to findings of this study. the PWI showed a high degree of validity and reliability. Thus it is recommended to use the PWI in general setting for screening for stress. In addition, it is necessary to clarify the concept of depression and anxiety. In the further study. it my be considered to the factor structure of PWI and studied to two or unidimensional factor structure.

• Archives of Plastic Surgery
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• v.44 no.3
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• pp.223-227
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• 2017

Background Carpal tunnel release is one of the most common surgical procedures performed by hand surgeons. The authors created a surgical simulation of open carpal tunnel release utilizing a mobile and rehearsal platform app. This study was performed in order to validate the simulator as an effective training platform for carpal tunnel release. Methods The simulator was evaluated using a number of metrics: construct validity (the ability to identify variability in skill levels), face validity (the perceived ability of the simulator to teach the intended material), content validity (that the simulator was an accurate representation of the intended operation), and acceptability validity (willingness of the desired user group to adopt this method of training). Novices and experts were recruited. Each group was tested, and all participants were assigned an objective score, which served as construct validation. A Likert-scale questionnaire was administered to gauge face, content, and acceptability validity. Results Twenty novices and 10 experts were recruited for this study. The objective performance scores from the expert group were significantly higher than those of the novice group, with surgeons scoring a median of 74% and medical students scoring a median of 45%. The questionnaire responses indicated face, content, and acceptability validation. Conclusions This mobile-based surgical simulation platform provides step-by-step instruction for a variety of surgical procedures. The findings of this study help to demonstrate its utility as a learning tool, as we confirmed construct, face, content, and acceptability validity for carpal tunnel release. This easy-to-use educational tool may help bring surgical education to a new- and highly mobile-level.

• Journal of Korean Neurosurgical Society
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• v.58 no.4
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• pp.363-367
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• 2015

Objective : The purpose of this study was to evaluate the clinical utility and validity of using a pupillometer to assess patients with acute brain lesions. Methods : Pupillary examinations using an automated pupillometer ($NeurOptics^{(R)}NPi^{TM}$-100 Pupillometer) were performed every 4 hours and were simultaneously assessed using the Glasgow Coma Scale (GCS) and for intracranial pressure (ICP), from admission to discharge or expire in neuro-intensive care unit (NICU). Manual pupillary examinations were also recorded for comparison. By comparing these data, we evaluated the validity of using automated pupillometers to predict clinical outcomes. Results : The mean values of the Neurologic Pupillary index (NPi) were different in the groups examined manually. The GCS correlated well with NPi values, especially in severe brain injury patients (GCS below 9). However, the NPi values were weakly correlated with intracranial pressure (ICP) when the ICP was lower than 30 cm $H_2O$. The NPi value was not affected by age or intensity of illumination. In patients with a "poor" prognosis who had a Glasgow Outcome Scale (GOS) of 1 or 2, the mean initial NPi score was $0.88{\pm}1.68$, whereas the value was $3.89{\pm}0.97$ in patients with a "favorable" prognosis who had a GOS greater than 2 (p<0.001). For predicting clinical outcomes, the initial NPi value of 3.4 had the highest sensitivity and specificity. Conclusion : An automated pupillometer can serve as a simple and useful tool for the accurate measurement of pupillary reactivity in patients with acute brain lesions.

• The Transactions of the Korean Institute of Power Electronics
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• v.19 no.5
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• pp.391-398
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• 2014

This paper presents a resonant step-down DC/DC converter to reduce the voltage stresses of a 3-phase inverter module under the three-phase AC utility line condition. Under this condition, a conventional 3-phase inverter module suffers from high voltage stresses as a result of the high rectified DC link voltage; hence, a high-cost high-voltage-rating inverter module must be used. However, using the proposed converter, a low-cost low-voltage-rating inverter module may be adopted to drive the motor even under the 3-phase AC line condition. The proposed converter, which can be realized with small size inductor and low-voltage-rating semiconductor devices, operates at a high-efficiency mode because of the zero-current switching operations of all the semiconductor devices. The operational principles are explained and a design example is provided in the study. Experimental results demonstrate the validity of the proposed converter.

• Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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• v.27 no.11
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• pp.27-36
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• 2013

Islanding in a gird connected inverter of wind power generation system may influence a bad effect on equipments or yield safety hazards on grid so it should be detected rapidly and exactly. A passive method to detect islanding is comparatively simpler than an active method but suffers from non detection zone (NDZ). On the other hand, the active method can significantly reduce NDZ by injecting a disturbance into inverter output. To improve the reliability of islanding detection, this paper proposes a hybrid anti-islanding detection method combining the conventional passive method as well as the active method based on novel harmonic injection method using fourier transform. The proposed scheme is fast to detect islanding when NDZ does not exist because it has the nature of passive method. Under NDZ, the active method can detect occurrence of islanding reliably. The effectiveness and validity of the proposed scheme is proved through comparative simulations.

• Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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• v.17 no.5
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• pp.36-42
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• 2003

This paper presents a new current-source PWM inverter based on Buck-boost configuration to interface between photovoltaic system and utility line. Proposed inverter is consisted by two set of buck-boost topology, and the input inductor is designed to be operated on the discontinuous current conduction mode. So high power factor can be achieved without additional input CtUTent controller. As a result, overall system has simple structure, and it can obtain higher ac output rms voltage than the terminal voltage of the photovoltaic system without additional boosting procedure. The operational modes are theoretically analyzed, and then the validity of the proposed system was verified through simulation and experimental results using a prototype.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.5 no.1
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• pp.70-82
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• 1994

Present study was to evaluate the validity and the clinical utility of the Korean version of Luria-Nebraska Neuropsychological Battery for Children(LNNB-C) in various groups including normal, brain damaged attention deficit hyperactivity disordered(ADHD), and psychiatrically disordered. The Korean version of LNNB-C and BGT were administered to clinical groups consisted of 51 patients(19 brain damaged, 16 ADHD. and 16 psychiatric controls), and to normal group composed of 147 children between the age of 8 and It Also KEDI-WISC was administered D clinical groups as a part of comprehensive psychological assessment There were significant differences between the brain damaged and the normals on all scales of LNNB-C, and between the normals and the ADHD on 11 clinical scales and 3 summary scales, which indicate the clinical validity for the scales of the Korean version of LNNB-C. The significant differences between the ADHD and the brain damaged on 3 summary scales were found, suggesting that the summary scales might play an important role id discriminating between two groups. Multiple discriminant analysis showed that the Korean version of LNNB-C significantly discriminates 3 groups - normals, ADHD, and brain damaged. Percentages of correct classification were ranged from 62.5% in the ADHD to 98.6Ta in the normals. For further evaluating the discriminant validity of the LNNB-C, the discriminant power of each items were calculated, and 131 of the 147 items discriminated significantly between the brain damaged and the normals. The scales of LNNB-C significantly correlated with the error scores of BGT and the most of scales of KEDI-WISC. These results put together : strongly support the concurrent and the discriminant validity of the Korean version of LNNB-C in diagnosing brain damage. The limitations of present study and several issues for the luther study were discussed.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.26 no.2
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• pp.104-111
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• 2015

Objectives : The aim of this study was to develop computerized attention tasks using smart devices for preschool aged children for assessment of auditory attention, visual attention, and attention shifting abilities. We then evaluated their construct and concurrent validity of them. Methods : Sixty-seven 5- to 7-year-old children attending kindergarten were recruited. Newly developed computerized attention tasks and existing standardized attention tests such as Advanced Test of Attention (ATA) and Children's Color Trails Test-2 (CCTT-2) were successively administered. To examine the concurrent validity of these tasks, correlation coefficients between the participants' scores on the newly developed tasks and the scores on well-known measures were calculated for assessment of each component construct. We also examined the construct validity of the tasks using the developmental trend of the auditory attention, visual attention, and attention shifting abilities with age. Results : Significant correlations were observed between the scores of computerized attention tasks using smart devices and corresponding scores of ATA-auditory task, visual task, and CCTT-2. And there were significant linear increasing trends of correct scores with age from 5 to 7 years. Conclusion : This study provides promising evidence for the utility of computerized attention tasks using smart devices for preschool-aged children.

• Journal of Korean Society of societal Security
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• v.4 no.1
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• pp.57-65
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• 2011

Studying the operation of urban control plan and control program of urban plan facilities to present development direction of urban plan in the future by performing multi-variate analysis, the research acquired the following conclusion. It is required to institutionally activate the inhabitants' participation by reflecting spontaneous participation and opinion of inhabitants to adminstration so that the effect of business can be maximized in the stage of establishing urban control plan. Furthermore, the participation of role dividing type is necessary to adjust and connect the interest of expert that has experience in practical business of overall urban plan, inhabitant and self-governing body. It is required to reduce the service supplied by government so as to enhance policy of plan-first and development last for facilities with high importance and utility such as road, park and water supply/sewage, etc as well as to seek control program that expands the participation of private sector for administration for which private service is possible.