• Journal of The Korea Institute of Healthcare Architecture
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• v.26 no.1
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• pp.51-62
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• 2020

Purpose: The Intensive Care Unit (ICU) is an important inpatient care area where critical patients are treated intensively with advanced medical technology. The level of care of ICU and the modernization of related facilities is an important indicator of health care quality. At the present time, when the Regional public hospitals are frequently expanding, the rational planning of the ICU has become an important part of the medical institutions treating the ICU. The purpose of this study is to present basic data with net area which can be used in the architectural planning of the ICU. Methods: The investigation and analysis of the ICUs were conducted on 26 medical facilities, based on theoretical analysis through relevant guidelines, articles, and documents, and on the basis of the actual space composition and net area analysis through the architectural drawings. Results: This study provides basic data such as zone division, spatial composition, relationship between main activities and zones, composition of facilities in the zone and area ratio within each zone. Implications: The results of this paper are expected to be effective reference materials for future research for rational spatial organization and efficient operation of the Intensive Care Unit in regional public hospitals.

• Journal of The Korea Institute of Healthcare Architecture
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• v.25 no.3
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• pp.37-46
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• 2019

Purpose: The Intensive Care Unit (ICU) is an important inpatient care area where critical patients are treated intensively with advanced medical technology. The level of care of ICU and the modernization of related facilities is an important indicator of health care quality. At the present time, when the Regional public hospitals are frequently expanding, the rational planning of the ICU has become an important part of the medical institutions treating the ICU. The purpose of this study is to present basic data with net area which can be used in the architectural planning of the ICU. Methods: The investigation and analysis of the ICUs were conducted on 24 medical facilities, based on theoretical analysis through relevant guidelines, articles, and documents, and on the basis of the actual space composition and net area analysis through the architectural drawings. Results: This study provides basic data such as bed placement type of ICU, relationship with other departments, distance between NS and bed, distance between beds, and net area of disease by type. Implications: The results of this paper are expected to be effective reference materials for future research for rational spatial organization and efficient operation of the Intensive Care Unit in regional public hospitals.

• Journal of Korea Water Resources Association
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• v.57 no.1
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• pp.9-19
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• 2024

As using public monitoring data, analysing a trends of water quality change, establishing a criteria to determine abnormal status and constructing a regression model that can predict Chlorophyll-a, an indicator of eutrophication, was studied. Accordingly, the three freshwater lakes were selected, approximately 20 years of water quality monitoring data were analyzed for periodic changes in water quality each year using regression analysis, and a method for determining abnormalities was presented by the standard deviation at confidence level 95%. By calculating the temporal change rate of Chlorophyll-a from irregular observed data, analyzing correlations between the rate and other water quality items, and constructing regression models, a method to predict changes in Chlorophyll-a was presented. The results of this study are expected to contribute to freshwater lake water quality management as an approximate water quality prediction method using the statistical model.

• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.22 no.4
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• pp.81-86
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• 2022

In this work, we propose a method for automatically determining the domain of columns of file data structured by csv format. New data can be generated through convergence between data and data, and the consistency of the joined columns must be maintained in order for these new data to become an important resource. One of the methods for measuring data quality is a domain-based quality diagnosis method. Domain is the broadest indicator that defines the nature of each column, so a method of automatically determining it is necessary. Although previous studies mainly studied domain automatic discrimination of relational databases, this study developed a model that can automate domains using the characteristics of file data. In order to specialize in the domain discrimination of file data, the data were simplified and patterned using a regular expression, and the contents of the data header corresponding to the column name were analyzed, and the suffix used was used as a derived variable. When derivatives of regular expressions and suffixes were added, the result of automatically determining the domain with an accuracy of 95% greater than the existing method of 87% was derived. This study is expected to reduce the quality measurement period and number of people by presenting an automation methodology to the quality diagnosis of public data.

• Health Policy and Management
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• v.25 no.3
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• pp.197-206
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• 2015

Background: The purpose of this study was to propose a method for developing a measure of hospital-wide all-cause risk-standardized readmissions using administrative claims data in Korea and to discuss further considerations in the refinement and implementation of the readmission measure. Methods: By adapting the methodology of the United States Center for Medicare & Medicaid Services for creating a 30-day readmission measure, we developed a 6-step approach for generating a comparable measure using Korean datasets. Using the 2010 Korean National Health Insurance (NHI) claims data as the development dataset, hierarchical regression models were fitted to calculate a hospital-wide all-cause risk-standardized readmission measure. Six regression models were fitted to calculate the readmission rates of six clinical condition groups, respectively and a single, weighted, overall readmission rate was calculated from the readmission rates of these subgroups. Lastly, the case mix differences among hospitals were risk-adjusted using patient-level comorbidity variables. The model was validated using the 2009 NHI claims data as the validation dataset. Results: The unadjusted, hospital-wide all-cause readmission rate was 13.37%, and the adjusted risk-standardized rate was 10.90%, varying by hospital type. The highest risk-standardized readmission rate was in hospitals (11.43%), followed by general hospitals (9.40%) and tertiary hospitals (7.04%). Conclusion: The newly developed, hospital-wide all-cause readmission measure can be used in quality and performance evaluations of hospitals in Korea. Needed are further methodological refinements of the readmission measures and also strategies to implement the measure as a hospital performance indicator.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.6
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• pp.3865-3869
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• 2013

Background: Cigarette per day (CPD) use is a key smoking behaviour indicator. It reflects smoking intensity which is directly proportional to the occurrence of tobacco induced cancers. Self reported CPD assessment in surveys may suffer from digit bias and under reporting. Estimates from such surveys could influence the policy decision for tobacco control efforts. In this context, this study aimed at identifying underlying factors of digit bias and its implications for Global Adult Tobacco Surveillance. Materials or Methods: Daily manufactured cigarette users CPD frequencies from Global Adult Tobacco Survey (GATS) - India data were analyzed. Adapted Whipple Index was estimated to assess digit bias and data quality of reported CPD frequency. Digit bias was quantified by considering reporting of '0' or '5' as the terminal digits in the CPD frequency. The factors influencing it were identified by bivariate and logistic regression analysis. Results: The mean and mode of CPD frequency was 6.7 and 10 respectively. Around 14.5%, 15.1% and 15.2% of daily smokers had reported their CPD frequency as 2, 5 and 10 respectively. Modified Whipple index was estimated to be 226.3 indicating poor data quality. Digit bias was observed in 38% of the daily smokers. Heavy smoking, urban residence, North, South, North- East region of India, less than primary, secondary or higher educated and fourth asset index quintile group were significantly associated with digit bias. Discussion: The present study highlighted poor quality of CPD frequency data in the GATS-India survey and need for its improvement. Modeling of digit preference and smoothing of the CPD frequency data is required to improve quality of data. Marketing of 10 cigarette sticks per pack may influence CPD frequency reporting, but this needs further examination. Exploring alternative methods to reduce digit bias in cross sectional surveys should be given priority.

• Journal of Korean Society of Environmental Engineers
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• v.28 no.4
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• pp.389-396
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• 2006

A quantitative survey of the protozoa microfauna at two advanced wastewater treatment plants has been carried out on a weekly basis. The abundance of the protozoa were compared with operating parameters and effluent quality using statistical procedures. The protozoa distribution indicated it seemed the composition of the influent wastewater and operating conditions of plant influenced the structure of protozoa in the plant. In statistical analysis, the distribution of protozoa showed the present operating condition of plant and predicted near-future effluent qualify. Enough data concerning protozoa, operating parameters and effluent has been gathered, the operator has a valuable tool for predicting plant performance and near-future data of effluent based on microscopic examination. Perhaps more importantly it can be used to actually control the plant to adjust the operating conditions to obtain the protozoal populations that have been shown to provide the best effluent quality.

• Journal of the Korean Institute of Educational Facilities
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• v.24 no.6
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• pp.45-53
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• 2017

The purpose of this study is to provide the fundamental data to improve a school building through comparing and analyzing facilities of high schools located in Gyeonggi - do Province on the basis of the Design Indicator for the Korean Educational Buildings. Two types of high schools were examined for this study. Some of them are high schools selected by Korean Ministry of Education as a school equipped with superior facilities and the others are high schools equipped with general facilities. 8 items such as safety, comfort, the function of education, utilization, the public, eco-friendliness, technology performance, economical efficiency were examined by 5 point Likert scale. Findings showed that all facilities of both types of high schools received high ratings in terms of safety, utilization, and technology performance. However, the evaluation index on 'various used outdoor space' and 'public buildings harmonized with surroundings' of the education function of both types of high schools was low, which implies that the facility related to the education function needs to be improved. It infers that facilities are simplified and harmony with surroundings disappears when altering the design of the school building due to the convenience of building and the problem of the budget. Therefore, these need to be primarily controlled. Additionally, in high schools with general facilities, the evaluation index on 'aesthetic interior and exterior design of comfort', 'the responsive space to the demand for teaching and learning of the function of education', and eco-friendless were so low that these factors need to be considered when designing the school building.

• Journal of Korean Academy of Nursing Administration
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• v.5 no.1
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• pp.181-195
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• 1999

This study was done to develope a computer program for the evaluation of quality of nurisng care. Because the professional nursing care should be evaluated consistantly, computer program for the measurement of quality of nursing care is necessary for the effective and efficient management of nursing quality. In this study, a computer program for gastrointestinal surgery patients was developed as a module. Visual basic 4.0 was used as a basic program for the development of this program, and Access 7.0 was used for the data base construction of the program. The systems of evaluation criteria were hierarchical. and the titles of the hierarchical criteria were evaluation area-evaluation item-indicator. Each evaluation area contained several items and each evaluation item contained several indicators. The numbers of the evaluation criteria for gastrointestinal surgery patients were 7 evaluation areas, 32 evaluation items. and 71 indicators. Content validity of the evaluation criteria(in this case, 32 evaluation items) was .95. Scoring could be possible with the evaluation items. For the scoring types of this program were two. norm-referenced type(option 1) and criterion-referenced type(option 2), the user can choose the type according to the purpose of the evaluation. With this computer program. accurate and consistant evaluation of the quality of nursing care could be expected. Also. by the rapid feedback to nursing care practice. quality of nursing practice could be improved rapidly. and the systems of the evaluation criteria developed in this study could be used for the development of other moduls for various kinds of patient groups. Because this computer program was developed only for the purpose of research, it is necessary to be refined commercially to be used in real nursing situation.

• Journal of Preventive Medicine and Public Health
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• v.37 no.3
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• pp.267-273
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• 2004

Objectives : This study was aimed at investigating the medical service utilization pattern of patients who use public medical aid compared to those who have health insurance. Methods : We selected every patient between the age of 18 and 69 who used public medical aid from January 1, 1999, to December 31, 2001, in Gwangju metropolitan city, South Korea. For comparison, a list of patients with health insurance was gathered for same period. Then the medical records of those who had been hospitalized for acute appendicitis were selected among both groups. Of those records, we compared the number of cases of ruptured appendicitis to cases of whole acute appendicitis in both groups. Regarding coding for ruptured appendicitis, International Classification of Diseases - 10 (ICD-10) was used. Multiple logistic regression was used as a statistical tool to determine the effectiveness of risk factors. Results : Even after adjusting for risk factors, such as age and sex, the proportion of perforation of acute appendicitis among public medical aid patients was found to be significantly higher than among insured patients. Conclusions : This comparative study on ruptured appendicitis among public medical aid patients and insured patients, indicates that the proportion of perforation of acute appendicitis could be an index showing that these types of patients utilize medical services differently than insured patients. We know that when abdominal pain is not properly treated at the outset, it easily develops into ruptured appendicitis complicated with peritonitis. Considering this data analysis, we guess the public medical aid system to have significant problem with medical accessibility. So additional and systematic research on the pattern of utilization of medical services of public medical aid patients is needed.