• Journal of Preventive Medicine and Public Health
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• 제43권1호
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• pp.9-17
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• 2010

Objectives: Parkinson's disease is one of the most common neurodegenerative diseases in the elderly population. In order to estimate the prevalence of Parkinson's disease in the community, the application of a good screening tool is essential. We evaluated the validity and reliability of a Parkinson's disease screening questionnaire and propose an alternative measure to improve its validity for use in community surveys. Methods: We designed the study in a three-phase approach consisting of a screening questionnaire, neurologic examination, and confirmatory examination. A repeated survey was administered to patients with disease detected in the community and on 150 subjects. We examined internal consistency using Cronbach's alpha test, test-retest reliability using the kappa statistic, and validity using sensitivity, specificity, and ROC curves. Unadjusted odds ratios were utilized for the estimation of weights for each questionnaire item. Results: The Cronbach's alpha of the questionnaire was 0.708. The kappa statistic for test-retest reliability was good to generally fair in most of the items. When newly proposed weighting scores were used, the optimum cut-off value was 7/8. When cut-off value was 5/6 for surveying prevalence in a community, the sensitivity was 0.98, and the specificity was 0.61, with simultaneous improvement in reliability. Conclusions: We recommend 5/6 as the ideal cut-off value for the survey of PD prevalence in community. This questionnaire designed for the Korean community could help future epidemiologic studies of PD.

• Journal of the Korea Institute of Military Science and Technology
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• 제21권4호
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• pp.541-550
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• 2018

The works of preparing for missile flight test are becoming more complicated. To reduce the amount of waste time along with the complexity of the task, systematic analysis of waste factors should be performed before performing process improvement. The waste factors for missile flight test are first defined using lean-based waste factors. The improvement priorities for the defined waste factors are surveyed. For reliable analysis, AHP is used in questionnaire analysis instead of the existing method with large error. Then weighting and priority for waste factors for level 1 and Level 2 are suggested. Through AHP, we could derive reliable improvement priorities for waste factors. It is analyzed that the biggest cause of waste factors is waiting time and identified as the first item to be considered when establishing improvement plan. In addition, suggestions for improvement measures of waste factors are presented through brainstorming method. Reliable results will be an important factor in process redesign for missile flight test works.

• Journal of the Society of Disaster Information
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• 제16권2호
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• pp.331-342
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• 2020

Purpose: This study concerns the cost of safety management in order to prevent accidents and disabilities in the construction industry. The purpose of the Chapter is to draw up problems and improvement measures for these safety management costs. Method: A detailed questionnaire was developed for 20 construction safety managers for the research. This questionnaire was analyzed and implemented by the Expert Group Interview (FGI) analysis method. Results: In order to understand the safety management cost system, alternatives such as preparing a standard manual, implementing regular on-site training, and establishing a monitoring system for the safety management cost were derived. In addition, there is a need to ensure autonomy in the execution of flexible costs so that they can be deployed immediately in case of emergency to improve the 'efficiency and necessity of the safety negligence system'. And it was analyzed as items that should be improved due to excessive demand for documentation. Conclusion: Through this study, problems should be recognized for the improvement of the construction safety management cost system. And it will have to come up with policy-based and institutional-improvement measures for experts.

• Quality Improvement in Health Care
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• 제8권2호
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• pp.172-185
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• 2001

Background : This study was carried out to assess the quality improvement(QI)activities in Korean hospitals. Methods : A mailed questionnaire survey was conducted between September 15 and October 30, 2000. The staffs being charge of QI each of the hospitals with 400 beds or more responded to the questionnaire. Of the 108 hospitals eligible for inclusion in our study, 69 participated, yielding a response rate of 63.9%. Results : Based on these survey, 87.3 percent of the responding hospitals were performing QI projects and 54 percent of the hospitals had a separate department for QI activity. About 62 percent of hospitals performing QI activity (QI hospitals) had a QI manager and 58 percent had a separate budget for QI activities. Among the QI hospitals, 85 percent had cross-functional or cross-departmental teams as the major mechanisms for doing QI projects, 94 percent had one or more educational programs on QI. The level of physician's participation level for QI projects was lower than other staff(CEO, nurses and other administrators). Conclusion : The majority of the hospitals have undertaken activities in QI. For the successful implemented QI, the involvement of and education for employees(including physicians and other health professionals)are needed as well as management strategy and leadership. Understanding of other hospitals experience would be helpful for health care managers to plan and initiate QI activities.

• Journal of Korean Medicine Rehabilitation
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• 제21권4호
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• pp.131-143
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• 2011

Objectives: The purpose of this study is to make a survey of the effectiveness of the non surgical spinal decompression treatment in patients with cervical disc herniation documented on magnetic resonance imaging(MRI). Methods: We studied about 27 cases of cervical disc herniation which were treated with non surgical spinal decompression and other medical treatment (acupuncture, interferential current therapy and ice poultice). Each patient has been treated with spine decompression and other medical treatment. And degree of improvement has been evaluated by short form-McGill pain questionnaire(SF-MPQ), visual analogue scale(VAS) and neck disability index(NDI) before treatment and 5th, 10th times after treatments. Results: 1. The VAS SF-MPQ and NDI scores showed statistically significant improvement after 5th and 10th treatment. 2. The VAS, SF-MPQ and NDI scores after 5th treatment showed better improvement than those of after 10th treatment. 3. The VAS, SF-MPQ and NDI scores in Subacute stage showed more statistically significant improvement among the other stages. Conclusions: As a result, non surgical spinal decompression treatment has clinical effects of pain reduction on patient with cervical disc herniation.

• KIEAE Journal
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• 제10권1호
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• pp.73-83
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• 2010

In urban regeneration, resident participation and respect of residents' need have become a major important issue. The purpose of this study is to identify residential area improvement characteristics expected by local residents. Data used for this study were collected from survey which used questionnaire and village image map construction tool kit, developed for facilitating the residents' participation in an actual housing improvement area at Kwngjoo, Korea. The major contents surveyed through questionnaire were first, future images of the area second, directions of improvement third, preferred architectural types such as high or low rise buildings. and a total of 335 data was collected within 4 days during 12-14 December, 2008. The kit was used by parents of students at a local elementary school, and 205 image maps were collected. Content analysis was to analyse characteristics of villages shown in the constructed image maps. Lynch's five elements were utilized to select areas for analysis. As a result, types of buildings desired by residents at the selected four local areas were identified. In general, residents desired their village to be improved with low and mid rise buildings, respecting existing cultural assets. This study showed that there is certain characteristics in relation to the selected areas. Besides, the tool kit used this study showed the effectiveness in collecting opinions from young households in the improvement area within a short time. The tool is expected to be useful in attracting residents and in facilitating participation of wide range of local residents by improving the constraints stemming from time and space.

• Journal of Environmental Impact Assessment
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• 제6권2호
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• pp.197-204
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• 1997

• Journal of Preventive Medicine and Public Health
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• 제27권2호
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• pp.366-376
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• 1994

Patients' evaluation of hospital care is one of the most important aspects of quality assessment. Survey allows patients to judge sujectively the events that occur during their hospital visit if performed properly. This study describes the result of a research effort to develop outpatient questionnaire that has sufficient validity and reliability to be used to measure patients' perception of satisfaction in Korea and to investigate influencing factors on patients' satisfaction. Self-administered questionnaire was developed for outpatient and the survey was conducted covering 827 outpatients in a tertiary hospital. It was confirmed by factor analysis that patients evaluate several components of ambulatory care distinctly ; hospital environment, administration and ancillary services, and medical care. We found strong evidence of construct validity and internal consistency for the above three dimensions of hospital process. On the contrary, reliability of overall outcome measures was low. It suggests that three items concerning overall outcome measures have some different meanings in patients' perception. Using logistic regression analysis it was found that previous health status, cost evaluation, and improvement in health status have significant influences on the level of patients' overall satisfaction and that patient's sex, experience of previous visit, expectation for improvement, cost evaluation, and improvement in health status are strongly related with intention to recommend hospital. In spite of some limitations the results of this study can be used helpfully as baseline informations for developing self-administered questionnaire and for exploring the influencing factors on patients' satisfaction. Further comprehensive research efforts should be made on the measurement of ambulatory patients' satisfaction and its related factors in current Korean situation.

• The Journal of Korean Academic Society of Nursing Education
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• 제5권1호
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• pp.133-141
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• 1999

Recently there are increasing concerns on quality improvement activities related to difficult economic situations, more competitive environment, health professional's emphasis on quality, and customer's needs in health care. The purpose of this study was to identify educational needs in the quality improvement for staff nurses. Study setting was an acute care hospital having more than 1000 bed in Seoul, Korea. The subjects were 40 staff nurses who participated in the first Quality Assurance(QA) inservice education. Data were collected by self-administered questionnaire which consisted of four parts : QA knowledge and attitude(ten items, by five Likert scale), contents of QA education(ten items, by setting the priority), evaluation of the program(structure, time allocation, place, educational method), and general characteristics of respondents (age, duration to work for hospitals etc.) The response rate was 85%(34/40), Most had positive perspective and attitude about QI/QA activities, but 9% had negative impression and knowledge about this activities. Also they'd like to know the plan of hospital-level QI/QA activities, QI/QA current practice, general hospital system, the role of QA specialist and so on. Consequently, for building the quality improvement activities that is customer-focused, coordinated, outcome-oriented, resource-efficient, collaborative in Korea, at first the education about philosophy, theory, and implementation process of QI/QA should be conducted, and then that on QI/QA terminology, quality indicators development, the analysis and presentation of quality-related data and so forth be followed.

• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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• 제15권1호
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• pp.259-275
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• 2002

During a clinical test with Korean herbal cosmetics, significant data and related results are summarized as following: 1. The questionnaire resulted the subjects who used Korean herbal cosmetics showed significant subjective improvement. 2. $11{\%}$ of the subjects who used Korean herbal skin lotion replied "very good" , $60{\%}$ "good" , and $29{\%}$ "so so". 3. In the questionnaire about how often the subjects who used Korean herbal skin lotion experienced skin irritation, $91{\%}$ of the subjects replied they didn't experience any skin irritation 4. The subjects who used oily & combinational cosmetics showed more significant result than the placebo group in the questionnaire about how they feel when using emulsion. 5. In the questionnaire about how they feel when using emulsion. $11{\%}$ of all the subjects replied "very good" , 60{\%}$ "good" , and $29{\%}$ "so so". 6. In the questionnaire about how they feel when using essence $18{\%}$ of all the subjects replied "very good" , $56{\%}$ "good" , and $27{\%}$ "so so". 7. In the questionnaire about how often the subjects who used skin lotion experienced skin irritation, $100{\%}$ of the subjects replied there was no skin irritation. 8. the subjects who used Korean herbal cosmetics showed significant result in the questionnaire about how much moisture they feel when using cream. 9. The subjects who used neutral & dry cosmetics showed more significant result than the placebo group in the questionnaire about if the cosmetics spread well when using emulsion. 10. The subjects who used oily & combinational cosmetics showed more significant result than the placebo group in the questionnaire about how much moisture they feel when using cosmetics. 11. In the questionnaire about how they feel when using cream $13{\%}$ of all the subjects replied "very good", $49{\%}$ "good", and $2{\%}$ "so so". 12. In the questionnaire about how often the subjects who used cream lotion experienced skin irritation, $96{\%}$ of the subjects replied there was no skin irritation. 13. In the measurement of coreometer, the subjects who used oily & combinational cosmetics showed significant result(measurement area : indang). Especially in the area of sungjang there is significant difference between the subjects group and placebo group. 14. In the measurement of skin-ph-meter, there was no significant change in all group. 15. in the measurement of melanin-erythema index meter, the subjects who used cosmetics which doesn't contain Korean herbs showed significant change and made significant difference in comparison to the subjects who used Korean herbal cosmetics.