• 보건행정학회지
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• 제24권4호
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• pp.322-329
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• 2014

Background: As most of people in Korea are covered by National Health Insurance (NHI), the disease information collected in NHI provides high availability for health policy. Nevertheless, the validity of disease codes in NHI data has been controversial till now. So we tried to evaluate the validity of them by comparing the NHI claims data with Korean National Hospital Discharge In-depth Injury Survey (KNHDIIS) data. Methods: We compared the NHI patients sample data (2009) with the KNHDIIS data (2009). We selected the inpatient data of KNHDIIS and NHI patients sample. The weighted number of patients from NHI patients sample was 5,551,210 and the number of patients from KNHDIIS was 5,559,874. We classified the disease codes into principal diagnoses and other diagnoses, and we compared as one, two, three unit level. Also we calculated the agreement rate of each of them. Results: In the comparison of principal diagnoses, NHI claims data had more C code than KNHDIIS data did, whereas KNHDIIS data had more Z code than NHI claims data did. In the comparison of other diagnoses, NHI claims data had 2, 3 more codes than KNHDIIS data did. The overall agreement rate at three unit level was 76.5% in principal diagnoses and 46.8% in other diagnoses. Conclusion: Considering the large difference between the two data, the validity of disease codes in NHI Claims data seems to be low. To increase the validity of them, the definite detail coding indicator, the reinforcement of coding education, and the reform of system are needed.

• 응용통계연구
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• 제17권1호
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• pp.61-73
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• 2004

교체표본조사에서는 모든 표본단위를 복수 개(=G)의 교체그룹으로 나누고 일정 횟수만큼 조사한 후 표본단위 의 교체를 하는 경우와 조사기 간 동안 동일한 표본단위를 조사한 후 교체그룹 자체를 교체하는 두 가지 경우가 있다. 본 연구는 후자의 경우를 일반화하는 것으로, 매 조사월에서 하나의 교체그룹이 조사되고 이 교체그룹에 속한 모든 표본단위는 최근 l개월 동안의 정보를 제공하는 l-수준 교체표본설계이다. 표본단위 교체가 오직 교체그룹의 총 개수인 G와 회상 개월 수인 l에 의해 결정되므로 이를 l/G 교체표본설계로 일반화하였으며 일반화복합추정량의 분산과 두 가지 형태의 편향(bias)하에서 MSE를 구하고 절충 GCE(compromise GCE)의 계수를 유도하였다. 또한 GCE의 분산과 MSE를 상관계수, 편향, 표본조사단위의 분산의 형태, 그리고 설계간격(design gap)의 형태에 따라 분석하였다.

• 한국습지학회지
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• 제7권3호
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• pp.57-66
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• 2005

본 연구는 최적화모형을 이용하여 관측된 단일 강우-유출 사상으로부터 최적단위도와 침투율 공식의 매개변수를 결정하였다. 단일 강우-유출사상으로부터 절대오차누계를 최소로 하는 선형계획모형을 정립하고, 황구지천 수직교 지점에서의 최적침투율과 단위도를 결정하였다. 침투율 공식의 섭동 단계에서는 시산법을 적용하여 Kostiakov, Philip, Horton 및 Green-Ampt 공식의 매개변수를 결정하였다. ${\Phi}$지표법에 의한 단위도 종거의 값은 유일하게 결정되지만 침투율 공식의 매개변수에 따라 단위도의 종거는 변한다. 본 연구에서는 관측된 단일 강우-유출사상에 관하여 제안된 모형을 적용하였으며 종래의 방법에 의한 오차보다 작은 단위도를 구할 수 있었다.

• Journal of the korean society of oceanography
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• 제33권3호
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• pp.113-122
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• 1998

The requisite numbers of sample replicates for the population study of soft-bottom benthos were estimated from survey data on the Songdo tidal flat and subtidal zone in Youngil Bay, Korea. Large numbers of samples were taken; two-hundred-fifty 0.02 m$^2$ box corers and fifty 0.1m$^2$ van Veen grabs were taken on the Songdo tidal flat and in Youngil Bay, respectively. The effect of sampler size on sampling efforts was investigated by pooling the unit samples in pairs, fours, eights, etc. The requisite number of sample replicates (n$_r$) was determined by sample variance (s$^2$) and mean (m) function (n$_r$:s$^2$/P$^2$m$^2$), at P=0.2 level, in which s$^2$ and m were calculated from the counts of individuals collected. For example, seven samples of 0.02 m$^2$ corer for the intertidal and two samples of 0.1 m$^2$ van Veen grab for subtidal fauna were required to estimate the total density of community. The smaller sampler size was more efficient than larger ones when sampling costs were compared on the basis of the total sampling area. The requisite number of sample replicates was also predicted ($\^{n}$n$_r$) by substituting $\^{s}$$^2$ obtained from the regression of s$^2$ against m using the Taylor's power law ($\^{s}$$^2$:am$^b$). The regression line of survey data on s$^2$ and m plotted on log scale was well fitted to the Taylor's power law (r$^2$${\geq}$0.95, p<;0.001) over the whole range of m. The exponent b was, however, varied when it was estimated from m which was categorized into classes by its scale. The fitted exponent b was large when both density class and the sampler size were large. The number of sample replicates, therefore, could be more significantly estimated, if regression coefficients (a and b) would be calculated from sample variance and mean categorized into density classes.

• Safety and Health at Work
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• 제10권4호
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• pp.527-530
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• 2019

The increasing prevalence of inactivity and obesity, along with aging, has implications on work capacity of labor force. This study reports the relationships between activity level and BMI by age with objectively measured physical workload. Data were examined from a sample of 19 481 Finnish employees using an estimate of minute-to-minute oxygen consumption based on R-R interval recordings. The mean estimated %VO₂max during the working day was 12.1 (±3.6) and 15.1 (±4.5)% for men and women, respectively. Based on a linear model, the mean %VO₂max increased by 1.5%-unit per 10-year increase in age, by 2.1%-unit per 5 kg/㎡ increase in BMI, and decreased by 1.6%-unit if improving physical activity class by two (p < 0.001 for all). Overweight and obesity, together with inactivity, notably increases workload throughout the career, even though at young adulthood, the daily workload is almost the same for each person regardless of the BMI, activity level, or gender. This study highlights the importance of regular physical activity and normal weight in protecting the worker from excessive physical (cardiovascular) workload during the whole working career.

• 한국농업기계학회:학술대회논문집
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• 한국농업기계학회 2000년도 THE THIRD INTERNATIONAL CONFERENCE ON AGRICULTURAL MACHINERY ENGINEERING. V.II
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• pp.227-235
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• 2000

Agricultural products are easily deformable its shape because of some external forces. However, these force behavior is difficult to measure quantitatively. Until now, many researches on the mechanical property was performed with various methods such as material testing, chemical analysis and non-destructive methods. In order to investigate force behavior on the cellular unit of agricultural products, electro-microscope based 3D image processing method will contribute to analysis of plant cells behavior. Before image measurement of plant cells, plant sample was cut off cross-sectioned area in a size of almost 300-400 ${\mu}$ m units using the micron thickness device, and some of preprocessing procedure was performed with fixing and dyeing. However, the wall structure of plant cell is closely neighbor each other, it is necessary to separate its boundary pixel. Therefore, image merging and shrinking algorithm was adopted to avoid disconnection. After then, boundary pixel was traced through thinning algorithm. Each image from the electro-microscope has a information of x,y position and its height along the z axis cross sectioned image plane. 3D image was constructed using the continuous image combination. Major feature was acquired from a fault image and measured area, thickness of cell wall, shape and unit cell volume. The shape of plant cell was consist of multiple facet shape. Through this measured information, it is possible to construct for structure shape of unit plant cell. This micro unit image processing techniques will contribute to the filed of agricultural mechanical property and will use to construct unit cell model of each agricultural products and information of boundary will use for finite element analysis on unit cell image.

• 보건행정학회지
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• 제12권4호
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• pp.34-55
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• 2002

In this study, the impact of organizational culture on the quality of social work services in hospitals were empirically analysed. A mailed questionnaire survey was conducted between February 19 and April 10, 2001. A sample of total 70 hospitals, including general hospitals with one social worker at least and single-department hospital with two social workers or more, were identified nationwide through the registry of Korean Association of Medical Social Workers and Korean Association of Hospitals. According to coping strategy and reacting pattern with the environmental changes, four types of organizational culture in each hospital, classified as group culture, developmental culture, hierarchial culture, and rational culture, were adopted for the independent variables. Three dimensional aspects of quality of social work service - structure, process, and outcome were selected as dependent variables in this study. Also the quality of social work service was distributed into provider-perceiving quality and consumer-perceiving quality The major findings were as following in summary; First, most social workers reported that the characteristic of culture in their hospitals are group culture the first, hierarchial culture the second, developmental culture the third, and rational culture finally in order of comparing the level of quality perceived between social worker's recognition. Second, service provider and consumer, The provider-perceiving quality showed less score than that of consumer, especially the lowest was the score of quality of outcome perceived by provider. Third, according to the types of organizational culture, there were significantly different levels of quality in total social work services, structure dimension and process dimension. The quality of outcome dimension did not show significant differences among the type of organizational culture. Finally, the most influential variables to the quality of social work service ice proved departmental form of social work unit, leader of social work unit, and developmental culture of hospital To assure quality services, accordingly, social work unit in hospital is required to be organized as a single unit, that means to be an independent department of which qualified social worker is supposed to control the unit. It is strongly recommended to develop leadership for the leaders of social work unit.

• Clinics in Shoulder and Elbow
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• 제24권2호
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• pp.98-105
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• 2021

Background: Our aim is to determine the interobserver reliability for surgeons to detect Hill-Sachs lesions on magnetic resonance imaging (MRI), the certainty of judgement, and the effects of surgeon characteristics on agreement. Methods: Twenty-nine patients with Hill-Sachs lesions or other lesions with a similar appearance on MRIs were presented to 20 surgeons without any patient characteristics. The surgeons answered questions on the presence of Hill-Sachs lesions and the certainty of diagnosis. Interobserver agreement was assessed using the Fleiss' kappa (κ) and percentage of agreement. Agreement between surgeons was compared using a technique similar to the pairwise t-test for means, based on large-sample linear approximation of Fleiss' kappa, with Bonferroni correction. Results: The agreement between surgeons in detecting Hill-Sachs lesions on MRI was fair (69% agreement; κ, 0.304; p<0.001). In 84% of the cases, surgeons were certain or highly certain about the presence of a Hill-Sachs lesion. Conclusions: Although surgeons reported high levels of certainty for their ability to detect Hill-Sachs lesions, there was only a fair amount of agreement between surgeons in detecting Hill-Sachs lesions on MRI. This indicates that clear criteria for defining Hill-Sachs lesions are lacking, which hampers accurate diagnosis and can compromise treatment.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제27권4호
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• pp.51-60
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• 2021

Purpose: Tuberculosis(TB) care unit in public health center should be carefully considered to be re-designed as an infection safety environment for both patient and healthcare workers. So, for the enhancement, this study analyses the facility requirements for co-using the screening clinic as a TB and other respiratory disease care unit. Methods: Not only screening clinic facility guidelines from "A Study for Standard Triage Design and Construction Document" but also the guidelines of TB care and related medical facility are reviewed; KDCA, CDC, ECDC and WHO as a TB care, and FGI and NHS for facility. The facility requirements are summarized space, approach, and mechanical requirement in order. By comparing the summary and screening clinic facility guidelines, supplementations are proposed for TB care unit setting. Results: The result of this study shows that both the space program and mechanical requirement of the screening clinic and that of TB care unit are almost identical and could be share, which include direct airflow or negative air pressure in an exam room. To increase functional and economical efficiency, however, it is necessary to consider a multi-functional negative pressured room, So care process may be re-designed based on a room type; face-to-face room or glass wall inbetween. Implications: The facility guidelines for TB care unit of a public health center should be developed to build a safe environment for infection control by reflecting its medical plan and budget.

• Parasites, Hosts and Diseases
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• 제56권1호
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• pp.71-74
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• 2018

Soluble antigens from an axenic culture of Entamoeba histolytica were used to develop a commercial ELISA kit to quantify anti-E. histolytica antibodies in sera of patients with extraintestinal amebiasis in non-endemic settings. The diagnostic specificity and sensitivity of the test were assessed retrospectively using 131 human serum samples with amoebic serologic status available. They were selected according to their results in immunofluorescence (IFAT) and were separated in 2 sample categories: 64 sera with positive results by IFAT and 67 with negative results by IFAT. The sensitivity and specificity of the ELISA kit were assessed at 95.0% and 94.0% compared to the IFAT. The test can be useful to exclude a potential diagnosis of amebiasis and could be used as a screening method since ELISA is an automated technique.