• Title/Summary/Keyword: safety score

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A Study on the Direction of Restructuring of Educational Facility Management Operating System (학교 교육시설관리 지원시설 업무체계 재구조화 방안 연구)

  • Kim, Young-Bong;Lee, Yong-Hwan
    • The Journal of Sustainable Design and Educational Environment Research
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    • v.21 no.4
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    • pp.21-28
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    • 2022
  • This study analyzes the reality of the overall operating system, such as recognition and satisfaction with school field support work system of the Education Facilities Management Center, recognition level of restructuring of work areas, and the direction of improvement for school facility maintenance support in various types of future learning environments. To analyze the problem of this study, a survey was conducted on 290 education administrative officials in Gyeonggi-do. First, school site awareness and work performance satisfaction of the Educational Facilities Management Center were evaluated as "below average," and it is necessary to improve the qualitative work area that is practically helpful to schools. Second, in the area of organizational operation, it is desirable to avoid simple tasks with a low evaluation of "below average" and to switch to an operating system that improves efficiency. Third, the need for the facility environment area (professionalism, safety) was the highest, but the center's ability and work processing level were evaluated very low as "below average," so it is urgent to improve the center's capacity. Fourth, in the area of social and educational policy change, the center received a high score for the need for access from the perspective of a learning environment linked to future education. Therefore, a policy review on the restructuring and improvement of work areas suitable for this is necessary.

Actual situation and prescribing patterns of opioids by pain physicians in South Korea

  • Kim, Min Jung;Kim, Ji Yeon;Lim, Yun Hee;Hong, Sung Jun;Jeong, Jae Hun;Choi, Hey Ran;Park, Sun Kyung;Kim, Jung Eun;Lee, Min Ki;Kim, Jae Hun
    • The Korean Journal of Pain
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    • v.35 no.4
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    • pp.475-487
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    • 2022
  • Background: Use of opioids for chronic intractable pain is increasing globally, and their proper use can improve patients' quality of life. In contrast, opioid use disorders, such as abuse or addiction, caused by prescribing opioids, are a worldwide issue. This study aimed to understand current opioid prescribing patterns and pain physicians' experiences with opioid use in South Korea. Methods: Pain physicians in 42 university hospitals in South Korea were asked to complete anonymous questionnaires regarding opioid prescriptions. Results: A total of 69 surveys were completed. Most pain physicians started prescribing opioids at a pain score of 7/10 and aimed to reduce pain by 50%. Most physicians (73.1%) actively explained the prescribed medications and possible side effects, and 61.2% of physicians preferred the prescription interval of 4 weeks. Immediate-release opioids were the most popular treatment for breakthrough pain (92.6%). The most common side effect encountered by physicians was constipation (43.3%), followed by nausea/vomiting (34.3%). Of the physicians, 56.5% replied that addiction and misuse prevalences were less than 5%. However, the most concerning side effect was addiction (33.0%). Conclusions: The survey results showed that the prescribing patterns of pain physicians generally followed Korean guidelines. Physicians were most interested in the safety and effectiveness of opioid prescriptions. They were most concerned about respiratory depression and abuse or addiction. A significant number of physicians agreed that the NHIS regulations needed improvement for patient convenience and safe and effective treatment, though there were pros and cons of the NHIS restrictions on prescription conditions.

Semantic Segmentation for Multiple Concrete Damage Based on Hierarchical Learning (계층적 학습 기반 다중 콘크리트 손상에 대한 의미론적 분할)

  • Shim, Seungbo;Min, Jiyoung
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.26 no.6
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    • pp.175-181
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    • 2022
  • The condition of infrastructure deteriorates as the service life increases. Since most infrastructure in South Korea were intensively built during the period of economic growth, the proportion of outdated infrastructure is rapidly increasing now. Aging of such infrastructure can lead to safety accidents and even human casualties. To prevent these issues in advance, periodic and accurate inspection is essential. For this reason, the need for research to detect various types of damage using computer vision and deep learning is increasingly required in the field of remotely controlled or autonomous inspection. To this end, this study proposed a neural network structure that can detect concrete damage by classifying it into three types. In particular, the proposed neural network can detect them more accurately through a hierarchical learning technique. This neural network was trained with 2,026 damage images and tested with 508 damage images. As a result, we completed an algorithm with average mean intersection over union of 67.04% and F1 score of 52.65%. It is expected that the proposed damage detection algorithm could apply to accurate facility condition diagnosis in the near future.

Development of Risk Analysis Structure for Large-scale Underground Construction in Urban Areas (도심지 대규모 지하공사의 리스크 분석 체계 개발)

  • Seo, Jong-Won;Yoon, Ji-Hyeok;Kim, Jeong-Hwan;Jee, Sung-Hyun
    • Journal of the Korean Geotechnical Society
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    • v.26 no.3
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    • pp.59-68
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    • 2010
  • Systematic risk management is necessary in grand scaled urban construction because of the existence of complicated and various risk factors. Problems of obstructions, adjacent structures, safety, environment, traffic and geotechnical properties need to be solved because urban construction is progressed in limited space not as general earthwork. Therefore the establishment of special risk management system is necessary to manage not only geotechnical properties but also social and cultural uncertainties. This research presents the technique analysis by the current state of risk management technique. Risk factors were noticed and the importance of each factor was estimated through survey. The systemically categorized database was established. Risk extraction module, matrix and score module were developed based on the database. Expected construction budget and time distribution can be computed by Monte Carlo analysis of probabilities and influences. Construction budgets and time distributions of before and after response can be compared and analyzed 80 the risks are manageable for entire whole construction time. This system will be the foundation of standardization and integration. Procurement, efficiency improvement, effective time and resource management are available through integrated management technique development and application. Conclusively decrease in cost and time is expected by systemization of project management.

The Impact of Meaning in Work on Happiness in Mid-aged: Mediating effect of Meaning of Life (중년 성인의 일의 의미가 행복에 미치는 영향: 삶의 의미의 매개 효과)

  • Jo, Seolae;Jeong, Youngsook;Lee, Jaesik;Joo, Mijung
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.8 no.10
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    • pp.871-882
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    • 2018
  • This study investigated meaning of life as mediator of the relationships of meaning of work and happiness in Koran middle aged. A sample of 171 middle aged were participated. in survey about meaning of work, meaning of work and happiness. The data were analyzed using correlation test and path analysis. The results was followed. First, every factors was positively correlated. The meaning of work was positively correlated with meaning in life and happiness. And meaning in life was also positively correlated with happiness. Second, the meaning in life had partial mediation effect between meaning of work and happiness. The middle aged's higher score of meaning of work not only directly increased happiness, but also induced higher level of meaning in life, which, in turn, increased happiness. The results of this study suggested that meaning of work is a predictor meaning in life and happness, and meaning in life can be important factor of the relationship between meaning of work and happiness.

Herbal Medicine for Premenstrual Syndrome: A Systematic Review and Meta-analysis (월경전증후군에 대한 한약 치료의 효과 : 체계적 문헌 고찰과 메타 분석)

  • Ji-In Seo;Yun-Jae Lee;Seo-Lim Ko;Nu-Ree Kim;Jeong-Hun Kim;Mi-Ju Son;Young-Eun Kim;An-Na Kim;Eun-Hee Lee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.36 no.4
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    • pp.96-120
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    • 2023
  • Objectives: This study reports the findings that support the efficacy of herbal medicine (HM) for premenstrual syndrome (PMS). Methods: We conducted meta-analysis of findings from randomized controlled trials (RCTs) for PMS treated with HM. The articles were published before July 2022, located using 9 databases (Pubmed, EMBASE, Cochrane Library, CINAHL, CNKI, CiNii, SCIENCE ON, KoreaMed, OASIS). Results: We observed 2,034 studies, of which 23 RCTs met our inclusion criteria. The risk of bias in the included studies was relatively unclear or high. Meta-analysis of 3 RCTs showed that HM group had a significantly higher total effective rate than the western medicine group (RR 1.20 [95% CI 1.06, 1.36, p=0.004]). Meta-analysis of 1 RCT showed that HM group had a significantly lower symptom score (MD -3.04 [95% CI -5.36, -0.72, p=0.01]), while there was no significant difference in daily record of severity of problems scale (MD -20.52 [95% CI -49.33, 8.29, p=0.16]). Conclusions: HM significantly improved PMS symptoms than general treatment and no serious adverse events were reported. However, the evidence on the effectiveness and safety of HM for PMS was not enough to provide reliable results due to the small number and low quality of included studies. We believe that rigorous RCTs will lead to more reliable evidence of the intervention.

Application of peak based-Bayesian statistical method for isotope identification and categorization of depleted, natural and low enriched uranium measured by LaBr3:Ce scintillation detector

  • Haluk Yucel;Selin Saatci Tuzuner;Charles Massey
    • Nuclear Engineering and Technology
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    • v.55 no.10
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    • pp.3913-3923
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    • 2023
  • Todays, medium energy resolution detectors are preferably used in radioisotope identification devices(RID) in nuclear and radioactive material categorization. However, there is still a need to develop or enhance « automated identifiers » for the useful RID algorithms. To decide whether any material is SNM or NORM, a key parameter is the better energy resolution of the detector. Although masking, shielding and gain shift/stabilization and other affecting parameters on site are also important for successful operations, the suitability of the RID algorithm is also a critical point to enhance the identification reliability while extracting the features from the spectral analysis. In this study, a RID algorithm based on Bayesian statistical method has been modified for medium energy resolution detectors and applied to the uranium gamma-ray spectra taken by a LaBr3:Ce detector. The present Bayesian RID algorithm covers up to 2000 keV energy range. It uses the peak centroids, the peak areas from the measured gamma-ray spectra. The extraction features are derived from the peak-based Bayesian classifiers to estimate a posterior probability for each isotope in the ANSI library. The program operations were tested under a MATLAB platform. The present peak based Bayesian RID algorithm was validated by using single isotopes(241Am, 57Co, 137Cs, 54Mn, 60Co), and then applied to five standard nuclear materials(0.32-4.51% at.235U), as well as natural U- and Th-ores. The ID performance of the RID algorithm was quantified in terms of F-score for each isotope. The posterior probability is calculated to be 54.5-74.4% for 238U and 4.7-10.5% for 235U in EC-NRM171 uranium materials. For the case of the more complex gamma-ray spectra from CRMs, the total scoring (ST) method was preferred for its ID performance evaluation. It was shown that the present peak based Bayesian RID algorithm can be applied to identify 235U and 238U isotopes in LEU or natural U-Th samples if a medium energy resolution detector is was in the measurements.

Evaluation of Hygiene and Nutritional Management and Education Effectiveness of Youth Facilities registered at Center for Children's Foodservice Management in Eunpyeong-gu (은평구 어린이급식관리지원센터 등록 청소년시설의 위생·영양 순회방문지도 및 교육 효과 평가)

  • Hyeri Kim;Jieun Kim;Joohee Han;Hailee Hwang;Hayan Hwang;Jiwon Kang;Eunseo Ju;Hyeyeong Hwang;Jinyoung Byun;Jieun Choi;Jina Lee;Suyoung Jang;Dawoon, Jung;Minyoung Lee;Wansoo Hong
    • Journal of the FoodService Safety
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    • v.4 no.2
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    • pp.55-59
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    • 2023
  • The purpose of this study is to evaluate the effectiveness of hygiene and nutritional management and education in the kitchen for youth facilities registered at the center. For this purpose, hygiene and nutrition management checklist scores, satisfaction and participation rates for each training, and diet use rate were checked on a quarterly basis. Hygiene and nutrition management scores increased every quarter, with the average score in the fourth quarter reaching 89.9 points. The participation rate in youth education was high at 86.4%, and both youth and staff education showed a satisfaction rating of 4.8 points. The usage rate of the adolescent diet was 65.4%. Based on the research results, the effectiveness of visiting guidance and education was confirmed, and future direction of center operation was suggested.

Analysis of Hazard Factors for Domestic General Purpose Ventilator using Usability Assessment (사용적합성 평가를 적용한 국산 범용인공호흡기의 위험요인 분석)

  • Gyeongmin Kwon;Seung hee Kim;You Rim Kim;Won Seuk Jang
    • Journal of Biomedical Engineering Research
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    • v.45 no.1
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    • pp.10-19
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    • 2024
  • The purpose of this study is to conduct a summative evaluation of the usability of a general-purpose ventilator to determine whether it can be used for its intended purpose in the intended environment by the intended user and to find possible errors in use. The importance of ventilators has increased due to the accelerated aging of the population and the impact of the pandemic. In addition, patients who require ventilators are often in critical condition, so even a small error in use can be fatal. Therefore, it is important to ensure that the ventilator has sufficient stability and can be used satisfactorily without inconvenience to the user. In this study, we conducted a usability test with 17 respiratory nurses with more than 3 years of experience using the ventilator. We analyzed the task success rate, satisfaction, and opinions of the intended users while going through a total of 17 scenarios. Satisfaction was captured through an ASQ questionnaire and subjective opinions were captured through a detailed opinion questionnaire. The results showed a high level of satisfaction with an average score of 6.3 for the use scenarios. Evaluators expressed satisfaction with the overall visibility and versatility of the features, but noted that improvements were needed for calibration tasks with low task success rates. As the calibration method is different from other equipment, it was suggested that specific explanations of the calibration method and the picture that appears when calibrating are needed, and that if relevant training is provided, the equipment can be used without problems. If the usability evaluation is not limited to securing efficiency and satisfaction from the intended users, but also continuously receives feedback from users to prepare for use in emergency environments such as pandemic situations, it will be very helpful to seize opportunities such as emergency authorization in future situations, and ultimately contribute to patient safety by reducing use errors.

Job importance, job performance, and job satisfaction in dietitians at geriatric hospitals or elderly healthcare facilities in Jeju (제주지역 요양 (병)원 영양사의 직무중요도, 직무수행도 및 직무만족도 분석)

  • Kang, Hye-Sook;Lee, Yunkyoung;Chae, In-Sook
    • Journal of Nutrition and Health
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    • v.49 no.3
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    • pp.189-200
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    • 2016
  • Purpose: This study analyzed job importance, job performance, and job satisfaction in 38 dietitians working at geriatric hospitals and elderly healthcare facilities in Jeju surveyed from September 15-24, 2014 with the aim of providing basic data for improving the quality of meals and nutrition management for elderly patients. Methods: Data were analyzed using descriptive analysis, ${\chi}^2$-test, t-test, ANOVA, and Pearson's correlation coefficients using the SPSS Win program (version 12.0). Results: Regarding job importance, the average score was 4.29 (out of 5), indicating that hygiene and safety management scored the highest at 4.77 (out of 5), and nutrition management scored the lowest at3.86. In terms of job performance of subjects, the average score was 2.87 (out of 5), indicating that cooking operation management scored the highest at 4.42 (out of 5). Regarding the Importance-Performance Analysis (IPA) of job importance and job performance, hygiene and safety management and cooking operation management scored high for importance and performance (B quadrant) menu management, human resource management, and nutrition management scored low for importance and performance (C quadrant) and purchasing management and financial management were included inD quadrant and A quadrant, respectively. For the level of job satisfaction of subjects, the average score was 3.37 (out of 5), indicating that relationships with colleagues scored the highest at 3.72, and improving professionalism scored the lowest at 2.95. Additionally, job importance and performance of subjects were positively correlated withjob satisfaction (r = 0.395, r = 0.386, both p < 0.05). Conclusion: In conclusion, scores for job importance and job performance of nutrition management were low, and job satisfaction of improving professionalism scored low. Therefore, continuous training and education programs of nutrition management should be provided to improve professionalism of dietitians at geriatric hospitals and elderly healthcare facilities.