• Title/Summary/Keyword: appropriateness study

Search Result 1,204, Processing Time 0.023 seconds

Validity and Reliability of Korean Version of Behavior Problems Inventory in Autism Spectrum Disorder and/or Intellectual Developmental Disorder

  • Hwang, Samuel Suk-Hyun;Park, Jangho;Kim, Sohee;Lee, Gayoung;Kim, Yeni;Bhang, Soo-Young
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
    • /
    • v.29 no.1
    • /
    • pp.7-13
    • /
    • 2018
  • Objectives: Problem behaviors pose a great obstacle to daily functioning in children with neurodevelopmental deficits and are an important target for treatment. In this study, we translated the Behavior Problems Inventory (BPI)-01 into Korean language and tested its psychometric properties. Methods: We attained the approval of the BPI author and performed standard translation-back translation. Then, professional caregivers examined appropriateness according to cultural and situational contexts in order to make necessary modifications of the Korean version of the BPI. Results: The BPI-01, Korea-Scales of Independent Behavior-Revised (K-SIB-R), and Child Behavior Checklist were completed for 98 autistic spectrum disorder or intellectual development disorder participants (mean age=28.3, standard deviation=7.3, range=10.1-51.7). The inter-rater reliability of the BPI-01 was found to be high (r=0.992-1.000). As for the results for concurrent validity for subscale items of BPI-01 and scales of SIB, correlations between SIB and BPI-01 subscales were statistically significant (r=0.357-0.672). Discussion: The Korean version of the BPI-01 showed good psychometric properties with high reliability and sufficient convergent validity. Further examination of the validity of BPI-01 should be carried out with inclusion of younger aged children and a closer look at less frequently occurring symptoms.

Evaluating The Validity of the Contents of the Separation of Prescribing and Dispensing roles Policy (의약분업 정책내용의 타당성 평가)

  • Lee, Sun-Hee;Jung, Sang-Hyuk;Lee, Hye-Jean;Koh, Kwang-Wook;Park, Si-Woon;Shin, Eui-Chul;Chung, Woo-Jin;Hwang, Jin-Mee
    • Korea Journal of Hospital Management
    • /
    • v.8 no.4
    • /
    • pp.121-148
    • /
    • 2003
  • This study is designed to evaluate the contents of the separation of prescribing and dispensing roles(SPD) policy based on the theoretical backgrounds. The results are as follows; Considering the purpose of SPD policy, 'increasing the efficiency in manpower management by separating the role of medical doctor and pharmacist and improving the quality of SPD service through specialization of function' as a policy objective is valid and very important agenda in health care. But the objectives are not working well by no keeping the detail means to actualize it. Also, some policy objectives are unclear or inappropriate and it makes the focus of that policy obscure or misleads inadequate policy alternatives. In terms of means of policy, it is evaluated to have some limits in effectiveness, efficiency, equity, rationality, technical feasibility, economic feasibility, administrative feasibility, social and time feasibility. In conclusion, it's necessary to investigate the some problem mentioned in this paper with empirical evidence. Also, it should be needed to improve the validity of policy by correcting policy objectives and means in execution of policy.

  • PDF

Sales Strategic Planning through analyzing the factors affecting the foodservice management contract (위탁급식계약 개발전략수립을 위한 업체선정 요인분석)

  • Yi, Bo-Sook;Yang, Il-Sun;Park, Jin-Young;Kim, Hyun-Ah
    • Korean journal of food and cookery science
    • /
    • v.20 no.5
    • /
    • pp.423-435
    • /
    • 2004
  • The purposes of this study were to compare, through a factor analysis, the perceived level of importance of 4 categories of features relating to food service management between salespeople and clients, to establish an effective marketing strategy for successful contracting. To obtain data on the perceived level of importance level of the factors affecting foodservice management contracts, questionnaires were developed using the Delphi technique, which were modified by apilot test. The questionnaires consisted of 4 categories and 19 items on the factors affecting foodservice management contracts, with the importance level of these factors measured on a 5 point-Likert type scale. Between March 12 and April 13 2003, the self-administrative questionnaires were mailed to the 60 salespeople and 280 clients. A total of 50 clients (25%) and 48 salespeople(77%) responded to the questionnaires. As a result, forprivate contracts and in competitive biding, the differences of the perceived importance level between the salespeople and clients of the 3 categories (the appropriateness of foodservice operation plan, sales ability, the conditions and costs of the contract) were significant. For the 5 items relating to private contracts, Field trip, Menu Management Plan, Sanitation and Safety Management, Cost per meal and Food Cost per meal, both the salespeople and clients perceived high levels of importance for all these items. For competitive biding, both the salespeople and clients perceived high levels of importance for the 6 item the Foodservice operation supportive system, Field trip, Menu Management Plan, Renewal plans for interior and environment, Cost per meal and Food Cost per meal.

Consensus on definition and quality standard of clinical practice guideline using RAND method (RAND 방법으로 합의한 임상진료지침의 정의와 질 평가 기준)

  • Ji, Seon-Mi;Kim, Soo-Young;Sheen, Seung-Soo;Heo, Dae-Seog;Kim, Nam-Soon
    • Health Policy and Management
    • /
    • v.20 no.2
    • /
    • pp.1-16
    • /
    • 2010
  • Background : Clinical practice guidelines are an increasingly familiar part of clinical practice. Moreover, rigorously developed evidence based guidelines has been widely used. However, in Korea, some of published documents as clinical practice guidelines have shown considerable disparity in structure, contents and quality. This is mainly because there is no consensus on the definition and quality standard of clinical practice guidelines. The purpose of this study was to draw consensus on the definition and the quality standard about clinical practice guidelines. Method : We developed a questionnaire about the definition of clinical practice guidelines with inclusion criteria(23 items) and the quality standard(30 items). We selected 9 experts who had prior experience in developing and implementing guidelines. Rating methods for appropriateness of items were adopted from the RAND method. Consensus was drawn in three rounds. Results : Of the 47 items agreed, 40 items were determined to be appropriate. Clinical practice guidelines were defined as "scientifically and systematically developed statements to assist practitioners and patients on making decisions about appropriate health care for specific clinical circumstances." Narrative reviews, systematic reviews or health technology assessment without recommendations, translation of foreign guidelines, guidelines for patients only and training manuals were not considered as clinical practice guidelines. For the quality standard of clinical practice guidelines, 27 items were deemed necessary. Conclusions : The consensus on the definition with inclusion criteria and the quality standard of clinical practice guidelines carries an important meaning as the first attempt to draw a general agreement in our society. The unique achievement of the consensus reflects the current status of clinical practice guidelines that there has been a high tendency to adapt foreign guidelines. We hope efforts of this kind will continue to bring improvement in clinical practice guidelines.

Development of Open Clinical Training Program to Improve Radiology-Major Students' Clinical Competency (방사선(학)과 재학생의 임상적응 향상을 위한 개방형 임상실습 프로그램의 제안)

  • Kim, Seon-Chil
    • Journal of radiological science and technology
    • /
    • v.33 no.3
    • /
    • pp.193-201
    • /
    • 2010
  • This study aimed to develop an open clinical training program to improve radiology graduates' clinical competency in the hospital setting to raise quality of patient-centered medical service. Development of the training program is similar to that of an instructional system design model. The program was developed according to the ADDIE model. Elements of each phase were collected. Draft of the program was constructed from literature review and clinical demands. Preliminary training program was implemented to sample students with the draft. After consultation with related professionals, the program was modified and completed. Professional groups assessed content validity of the program. Five continuous phases of the program - analysis, design, development, implementation, and evaluation - accommodate changes in clinical environment and demands. They also provide adequate learning needs. Effectiveness of the program and appropriateness of contents in each phase achieved a satisfactory level of significance. This program reflected demands from medical fields and effective learning programs. The purpose of the open clinical training program is to train radiological technologists in clinical setting to actively engage in patient-centered medical service and to help utilize their professional knowledge.

Preferences for Seafood in School Lunch Menus of the Upper Grade Elementary School Students (초등학교 고학년 학생들에서 학교급식의 수산물 기호도)

  • Oh, Hee;Chung, Hae Young
    • The Korean Journal of Food And Nutrition
    • /
    • v.26 no.2
    • /
    • pp.155-162
    • /
    • 2013
  • The purpose of this study was to compare the preferences for seafood in school lunch menus among elementary school students in Gyeonggi-do. A survey was carried out on 303 male/female elementary school students. As for the preferences for seafood in school lunch menus, 'like (47.2%)', 'fair (30.7%)', and 'dislike (22.1%)' were observed in that order (p<0.01). Concerning the appropriateness of seafood serving frequency, '1~2/week (44.9%)', '3~4/week (33.7%)', and 'everyday (10.2%)' were observed in that order. When the preference of favorite seafood was evaluated using a Likert scale (strongly like 5-points, strongly dislike 1-point), 'crustacea (4.34)', 'mollusk (4.21)', and 'processed food (4.11)' were observed in that order. In terms of cooking methods for seafood, 5th grade students showed higher frequency of 'grilling' and 'frying' seafood compared to others (p<0.05). As for the occurrence of seafood leftovers, 4th and 6th grade students showed higher frequency of 'sometimes' than 5th grade students (p<0.001). As for certain desires for seafood in school lunch menus, 'improvement of taste (39.3%)', 'various kinds of seafood (20.1%)', and 'variable cooking methods (18.5%)' were observed in that order. Therefore, in order to increase the intake of seafood, students should attempt to achieve proper intake though nutrition education.

The Experience of the VATER Association in One Hospital (한 병원에서 경험한 VATER 연관기형)

  • Nam, So-Hyun;Kim, Seong-Chul;Kim, In-Koo;Kim, Dae-Yeon
    • Advances in pediatric surgery
    • /
    • v.12 no.2
    • /
    • pp.175-182
    • /
    • 2006
  • VATER association is defined as a combination of 3 or more anomalies- vertebra (V), imperforate anus (A), esophageal atresia with or without tracheoesophageal fistula (TE), renal and radial anomaly(R). We reviewed our experiences in one center to determine etiology, prevalence, clinical manifestation, other associated anomaly and prognosis. Two hundred and twenty-three cases that underwent operations for imperforate anus or esophageal atresia were analyzed retrospectively through medical records at Department of Pediatric Surgery, Asan Medical Center from June, 1989 to July, 2005. The total number of neonates who had been admitted during period of study were 46,773 and VATER association was 9 (0.019 %, 1.92 persons per 10,000 neonates). Median gestational age and birth weight were $37^{+4}wk$ ($35^{+1}$ - $41^{+4}$) and 2,594 g (1,671-3,660), respectively and median age of mother was 32 years (23-38). There was no family history. Three patients were twins but their counterparts had no anomalies. Patients who have 3 anomalies were 6, 4 anomalies in two and 5 anomalies in one patient. Vertebra anomalies were detected in 7(77.7 %), imperforate anus in 8(88.9 %), esophageal atresia in 5 patients (55.6 %), renal anomaly in 6(66.7 %), and radial anomaly in 5(55.6 %), respectively. Four patients are alive, 2 patients were lost during follow up period. Three patients died due to neonatal sepsis, respiratory dysfunction and cardiac failure. VATER association did not appear to be a definite risk factor, but merely a randomized combination of 5 anomalies. The prognosis was dependent on the other associated anomalies, appropriateness of management and operation. Careful follow-up and aggressive treatmentare required for improving survival and quality of life.

  • PDF

Effective Analysis Framework for Construction Post Evaluation (건설공사 사후평가 수행결과의 효과적인 분석방법)

  • Kim, Tae Yeong;Park, Hee-Sung
    • KSCE Journal of Civil and Environmental Engineering Research
    • /
    • v.36 no.6
    • /
    • pp.1145-1152
    • /
    • 2016
  • A construction post evaluation is introduced to provide information that can be used for similar construction projects in the future through the evaluation of the efficiency of a public construction project and the verification of the appropriateness of the project results. However, it is not widely used due to a lack of awareness of the method. For this reason, the aim of this study is to provide a basic frame that can be utilized as a reference for a similar project in the future based on the construction post evaluation. More specifically, a more effective analysis method for the construction post evaluation is proposed and then an exemplary analysis is performed based on the method. The paper analyzes 293 cases stored in construction CALS. Construction cost growth rates of railway projects are tend to be greater than other project types like highway, expressway, and harbour. Then, construction schedule grwoth rates of expressway are greater than others. This is expected to provide useful information for a future project, and serve as a basic frame. Moreover, it is also meaningful that a project can be analyzed from different perspectives through the construction post evaluation.

Predictive Growth Models of Bacillus cereus on Dried Laver Pyropia pseudolinearis as Function of Storage Temperature (저장온도에 따른 마른김(Pyropia pseudolinearis)의 Bacillus cereus 성장예측모델 개발)

  • Choi, Man-Seok;Kim, Ji Yoon;Jeon, Eun Bi;Park, Shin Young
    • Korean Journal of Fisheries and Aquatic Sciences
    • /
    • v.53 no.5
    • /
    • pp.699-706
    • /
    • 2020
  • Predictive models in food microbiology are used for predicting microbial growth or death rates using mathematical and statistical tools considering the intrinsic and extrinsic factors of food. This study developed predictive growth models for Bacillus cereus on dried laver Pyropia pseudolinearis stored at different temperatures (5, 10, 15, 20, and 25℃). Primary models developed for specific growth rate (SGR), lag time (LT), and maximum population density (MPD) indicated a good fit (R2≥0.98) with the Gompertz equation. The SGR values were 0.03, 0.08, and 0.12, and the LT values were 12.64, 4.01, and 2.17 h, at the storage temperatures of 15, 20, and 25℃, respectively. Secondary models for the same parameters were determined via nonlinear regression as follows: SGR=0.0228-0.0069*T1+0.0005*T12; LT=113.0685-9.6256*T1+0.2079*T12; MPD=1.6630+0.4284*T1-0.0080*T12 (where T1 is the storage temperature). The appropriateness of the secondary models was validated using statistical indices, such as mean squared error (MSE<0.01), bias factor (0.99≤Bf≤1.07), and accuracy factor (1.01≤Af≤1.14). External validation was performed at three random temperatures, and the results were consistent with each other. Thus, these models may be useful for predicting the growth of B. cereus on dried laver.

Evaluation of Rain Gauge Distribution Characteristics by Altitude using Optimization Technique (최적화 기법을 통한 강우관측소의 고도별 분포특성 검토)

  • Lee, Ji Ho;Kim, Jong Geun;Joo, Hong Jun;Jun, Hwan Don
    • Journal of Wetlands Research
    • /
    • v.19 no.1
    • /
    • pp.103-111
    • /
    • 2017
  • In this study, we estimate the NNI(Nearest Neighbor Index) which is considered altitude of rain gauge network as a method for evaluating appropriateness of spatial distribution and the current rain gauge network is evaluated. The altitude is divided by equal-area-ratio and optimal NNI within given basin condition is estimated using harmony search method for considering geographical conditions that vary from altitude to altitude. After calculating current state and optimal NNI for each altitude, the distribution of the rain gauge network is evaluated based on the difference between the two NNIs. As a result, it founds that the density of rain gauge networks is relatively thin as the altitude increases. Furthermore, it will be possible to construct an efficient rain gauge network if the characteristics of different altitudes are considered when a new rain gauge network is newly constructed.