• Journal of Trauma and Injury
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• 제36권3호
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• pp.231-241
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• 2023

Purpose: Overtriage and undertriage rates are critical metrics in trauma, influenced by both trauma team activation (TTA) criteria and compliance with these criteria. Analysis of undertriaged patients at a level I trauma center revealed suboptimal compliance with existing criteria. This study assessed triage patterns after implementing compliance-focused process interventions. Methods: A physician-driven, free-text alert system was modified to a nonphysician, hospital dispatcher-guided system. The latter employed dropdown menus to maximize compliance with criteria. The preintervention period included patients who presented between May 12, 2020, and December 31, 2020. The postintervention period incorporated patients who presented from May 12, 2021, through December 31, 2021. We evaluated appropriate triage, overtriage, and undertriage using the Standardized Trauma Assessment Tool. Statistical analyses were conducted with an α level of 0.05. Results: The new system was associated with improved compliance with existing TTA criteria (from 70.3% to 79.3%, P=0.023) and decreased undertriage (from 6.0% to 3.2%, P=0.002) at the expense of increasing overtriage (from 46.6% to 57.4%, P<0.001), ultimately decreasing the appropriate triage rate (from 78.4% to 74.6%, P=0.007). Conclusions: This study assessed a workflow change designed to improve compliance with TTA criteria. Improved compliance decreased undertriage to below the target threshold of 5%, albeit at the expense of increased overtriage. The decrease in appropriate triage despite compliance improvements suggests that the current criteria at this institution are not adequately tailored to optimally balance the minimization of undertriage and overtriage. This finding underscores the importance of improved compliance in evaluating the efficacy of TTA criteria.

• 영어어문교육
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• 제15권4호
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• pp.157-175
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• 2009

This paper offers a critical review of a newspaper argument regarding the problems of high school education assessment for university entrance examination system in the United Kingdom. The media account raises three sets of questioning to hold that the nation's long-standing A-levels have failed and is no longer viable as a high-stakes test. However, it is found that the writer's argumentations involving misleading conceptions can be deconstructed because of invalid reasoning and unreliable evidence. So, it is proposed that a reasonable solution to replace the discredited A-level exams should be to adopt an eclectic approach for assessing candidates' multiple capabilities; performance, potentiality and critical thinking skills. These criteria for component-oriented assessments are designed to measure their high school academic achievements and intellectual capacity for tertiary education; in the process of such measurement, critical-logical reasoning abilities for sound judgment and problem-solving tasks should be incorporated with the basic precondition that each university possesses its own discretion for the determination of adequate proportions to reflect each of the assessment outcomes. It is, therefore, expected that this critical review will inspire the readers to understand aspects of assessment as an educational field and to confirm how seriously they may be misguided by a distorted media argumentation without substantive background knowledge.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2008년도 춘계학술대회 논문집 전기기기 및 에너지변환시스템부문
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• pp.158-160
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• 2008

Safety critical systems are those in which a failure can have serious and irreversible consequences. Nowadays digital technology has been rapidly applied to critical system such as railways, airplanes, nuclear power plants, and vehicles. The main difference between analog system and digital system is that the software is the key component of the digital system. The digital system performs more varying and highly complex functions efficiently compared to the existing analog system because software can be flexibly designed and implemented. The flexible design make it difficult to predict the software failures. This paper reviews safety standard and criteria for safety critical system such as railway system and suggests development methodology, ordering management and assessment process for railway software with more detail description.

• International Journal of Quality Innovation
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• 제4권1호
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• pp.1-19
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• 2003

This paper describes the origins, evolution of Quality Function Deployment and its transfer to the West. Following a comprehensive review of the literature and how QFD has been defined, and applied, the paper analyses the critical factors which impinge on QFD implementation success. A discussion which covers the enabling criteria found to be inherent in Japanese applications is contrasted with the Western approaches documented hitherto. In particular the Company Wide Quality Control (CWQC) approach in Japan versus the emerging concept of Total Quality Management and their impact on QFD implementation. A critical analysis of the main differences isolated from the review of the literature and which characterise the Japanese method of QFD implementation which is leading, and The Western approaches which appear to be lagging is included in the paper, together with some useful conclusions:

• 대한전기학회:학술대회논문집
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• 대한전기학회 2007년도 추계학술대회 논문집 전기기기 및 에너지변환시스템부문
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• pp.201-203
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• 2007

Safety critical systems are those in which a failure can have serious and irreversible consequences. Nowadays digital technology has been rapidly applied to critical system such as railways, airplanes, nuclear power plants, vehicles. The main difference between analog system and digital system is that the software is the key component of the digital system. The digital system performs more varying and highly complex functions efficiently compared to the existing analog system because software can be flexibly designed and implemented. The flexible design make it difficult to predict the software failures. This paper reviews safety standard and criteria for safety critical system such as railway system and suggests software development methodology for more detail description.

• 한국철도학회:학술대회논문집
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• 한국철도학회 2007년도 춘계학술대회 논문집
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• pp.987-992
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• 2007

Safety critical systems are those in which a failure can have serious and irreversible consequences. Nowadays digital technology has been rapidly applied to critical system such as railways, airplanes, nuclear power plants, vehicles. The main difference between analog system and digital system is that the software is the key component of the digital system. The digital system performs more varying and highly complex functions efficiently compared to the existing analog system because software can be flexibly designed and implemented. The flexible design make it difficult to predict the software failures. This paper reviews safety standard and criteria for safety critical system such as railway system and introduces the framework for the software lifecycle. The licensing procedure for the railway software is also reviewed.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2008년도 제39회 하계학술대회
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• pp.1014-1015
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• 2008

Safety critical systems are those in which a failure can have serious and irreversible consequences. Nowadays digital technology has been rapidly applied to critical system such as railways, airplanes, nuclear power plants, and vehicles. The main difference between analog system and digital system is that the software is the key component of the digital system. The digital system performs more varying and highly complex functions efficiently compared to the existing analog system because software can be flexibly designed and implemented. The flexible design make it difficult to predict the software failures. This paper reviews safety standard and criteria for safety critical system such as railway system and suggests development process, ordering management and assessment process for railway software with more detail description.

• Structural Engineering and Mechanics
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• 제4권5호
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• pp.529-540
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• 1996

The dynamic buckling mechanism of a single-degree-of-freedom dissipative/nondissipative gradient system is thoroughly studied, employing energy criteria. The model is chosen in such a manner, that its corresponding static response is associated with all types of distinct critical points. Under a suddenly applied load of infinite duration, it is found that dynamic buckling, occurring always through a saddle, leads to an escaped motion, which is finally attracted by remote stable equilibrium positions, belonging sometimes also to complementary paths. Moreover, although the existence of initial imperfection changes the static behaviour of the system from limit point instability to bifurcation, it is established that the proposed model is dynamically stable in the large, regardless of the values of all other parameters involved.

• Industrial Engineering and Management Systems
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• 제7권1호
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• pp.34-43
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• 2008

In recent years, many electronics producing firms have looked upon total quality management (TQM) strategy as a means by which they could maintain competitive advantage. This empirical research evaluates TQM strategic factors in order to determine the critical success factors in environmental uncertainty. Fuzzy analytic hierarchy process (FAHP) is the proposed research methodology to discuss and tackle the different decision criteria like effective leadership, people management, customer focus, strategic plan and process management, being involved in identifying the TQM strategic critical success factors with uncertainty. The result shows that effective leadership is the most critical success factor in TQM strategy.

• Tuberculosis and Respiratory Diseases
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• 제83권2호
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• pp.141-146
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• 2020

Background: The burden of nontuberculous mycobacterial (NTM) pulmonary disease (PD) is increasing globally. To understand the treatment outcomes and prognosis of NTM-PD, a unified registry is needed. In this project, we aim to construct a multicenter prospective observational cohort with NTM-PD in South Korea (NTM-KOREA). Methods: The primary objective of this study is to analyze treatment outcomes according to the species. In addition, recurrence rate, adverse events, the impact of each drug on treatment outcomes as well as the impact of characteristics of mycobacteriology will be analyzed. The inclusion criteria for the study are as follows: fulfilling the criteria for NTM-PD having one of the following etiologic organisms: Mycobacterium avium complex, M. abscessus subspecies abscessus, M. abscessus subspecies massiliense, or M. kansasii; receiving the first treatment for NTM-PD after enrollment; age >20 years; and consenting to participate in the study. Seven institutions will participate in patient enrollment and about 500 patients are expected to be enrolled. Participants will be recruited from 1 March 2020 until 19 March 2024 and will be observed through 19 March 2029. During the follow-up period, participants' clinical course will be tracked and their clinical data as well as NTM isolates will be collected. Conclusion: NTM-KOREA will be the first nationwide observational cohort for NTM-PD in South Korea. It will provide the information to optimize treatment modalities and will contribute to deeper understanding of the treatment outcomes and long-term prognosis of patients with NTM-PD in South Korea.