• Journal of Korean Academy of Fundamentals of Nursing
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• v.13 no.2
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• pp.172-181
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• 2006

Purpose: This study was done to identify observation and performance of nursing role activities by student nurses graduating from 3 year junior colleges or 4 year universities. Method: A descriptive design was used and the participants were 295 student nurses who were graduating. Data were collected using a structured questionnaire. Results: The average score for observation of nursing role activity was $2.16{\pm}0.29$, and for performance $1.61{\pm}0.29$. Among the college students, the mean item score for observation was highest for medication administrator and lowest for provider of spiritual & bereavement care, while for the university students the highest was for provider of care during surgery and lowest for provider of spiritual & bereavement care. The college students had higher scores for observation, and the university students for performance. Conclusion: It is concluded that standardized practice learning programs need to be designed in schools and in clinical practice areas, in order to further develop adaptability to nursing roles.

• Clinical and Experimental Emergency Medicine
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• v.5 no.4
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• pp.264-271
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• 2018

Objective For patients with acute myocardial infarction (AMI), symptoms assessed by emergency medical services (EMS) providers have a critical role in prehospital treatment decisions. The purpose of this study was to evaluate the diagnostic accuracy of EMS provider-assessed cardiac symptoms of AMI. Methods Patients transported by EMS to 4 study hospitals from 2008 to 2012 were included. Using EMS and administrative emergency department databases, patients were stratified according to the presence of EMS-assessed cardiac symptoms and emergency department diagnosis of AMI. Cardiac symptoms were defined as chest pain, dyspnea, palpitations, and syncope. Disproportionate stratified sampling was used, and medical records of sampled patients were reviewed to identify an actual diagnosis of AMI. Using inverse probability weighting, verification bias-corrected diagnostic performance was estimated. Results Overall, 92,353 patients were enrolled in the study. Of these, 13,971 (15.1%) complained of cardiac symptoms to EMS providers. A total of 775 patients were sampled for hospital record review. The sensitivity, specificity, positive predictive value, and negative predictive value of EMS provider-assessed cardiac symptoms for the final diagnosis of AMI was 73.3% (95% confidence interval [CI], 70.8 to 75.7), 85.3% (95% CI, 85.3 to 85.4), 3.9% (95% CI, 3.6 to 4.2), and 99.7% (95% CI, 99.7 to 99.8), respectively. Conclusion We found that EMS provider-assessed cardiac symptoms had moderate sensitivity and high specificity for diagnosis of AMI. EMS policymakers can use these data to evaluate the pertinence of specific prehospital treatment of AMI.

• International Journal of Computer Science & Network Security
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• v.23 no.5
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• pp.89-94
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• 2023

Cloud-based technology is used in different organizations around the world for various purposes. Using this technology, the service providers provide the service mainly SaaS, PaaS and while the cloud service consumer consumes the services by paying for the service they used or accessed by the principle of "pay per use". The customer of the services can get any services being at different places or locations using different machines or electronic devices. Under the conditions of being well organized and having all necessary infrastructures, the services can be accessed suitably. The identified problem in this study is that cloud providers control and monitor the system or tools by ignoring the calculation and consideration of various faults made from the cloud provider side during service delivery. There are currently problems with ignoring the consumer or client during the monitoring and mentoring system for cloud services consumed at the customer or client level by SLA provisions. The new framework was developed to address the above-mentioned problems. The framework was developed as a unified modeling language. Eight basic components are used to develop the framework. For this research, the researcher developed a prototype by using a selected cloud tool to simulate and java programming language to write a code as well as MySQL to store data during SLA. The researcher used different criteria to validate the developed framework i.e. to validate SLA that is concerned with a cloud service provider, validate what happened when the request from the client-side is less than what is specified in SLA and above what is specified in SLA as well as implementing the monitoring mechanism using the developed Monitoring component. The researcher observed that with the 1st and 3rd criteria the service level agreement was violated and this indicated that if the Service level agreement is monitored or managed only by cloud service prover, there is a violation of LSA. Therefore, the researcher recommended that the service level agreement be managed by both cloud service providers and service consumers in the cloud computing environment.

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.13 no.4
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• pp.2198-2222
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• 2019

The cloud storage service becomes a rising trend based on the cloud computing, which promotes the remote data integrity auditing a hot topic. Some research can audit the integrity and correctness of user data and solve the problem of user privacy leakage. However, these schemes cannot use fewer data blocks to achieve better auditing results. In this paper, we figure out that the random sampling used in most auditing schemes is not well apply to the problem of cloud service provider (CSP) deleting the data that users rarely use, and we adopt the probability proportionate to size sampling (PPS) to handle such situation. A new scheme named improving audit efficiency of remote data for cloud storage is designed. The proposed scheme supports the public auditing with fewer data blocks and constrains the server's malicious behavior to extend the auditing cycle. Compared with the relevant schemes, the experimental results show that the proposed scheme is more effective.

• Journal of Distribution Science
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• v.17 no.10
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• pp.83-91
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• 2019

Purpose - Media is a significant distributional channel in sport. In terms of determining the influencer in building sport media contents, recent sport media studies have employed agenda-setting theory, assuming media itself as the agenda provider. In a real-world situation, however, sports stars have been deemed key factor determining distribution contents in sport. The starting point of this study is the "tacit premise" of agenda-setting theory. Given the agenda-setting theory, the current study attempted to explore the function of sport stars as an agenda provider, which is a key determinant of sport distribution. Research design, data, and methodology - This study has reviewed articles of Yuna Kim, Sang-hwa Lee, and Hyun-jin Ryu from daily newspapers including as dong-a ilbo and joongang ilbo (2013 to 2017). The study collected data, portable document format (PDF), from the online archive of dong-a ilbo and joongang ilbo. We coded the length of the article, the frequency, the size of the picture, and the structural form of the article. Inter-coder reliability was compared with data previously investigated by the researcher. Inter-coder reliabilities for study 1 and 2 was .89 and .85. To examine hypotheses, descriptive analysis, correlations, and cross-tap analysis were performed. Results - The results partially supported the hypotheses proposing the significant role of sports stars as the agenda setters in distributing sport media contents. In specific, the study found that the number of articles about sports stars prevailed the number of articles about regular athletes. Besides, studies found that the use of photos was more frequent in articles of sports starts than that of regular athletes. In sports newspaper articles, featured story articles were used more than straight-articles for news relating to sports stars. Also, sports newspaper of sports stars contained more information associated within an event rather than outside of an event. Conclusions - In sports journalism, this study challenges the current theory that the media affects the composition and the content of sports coverages. As the principle of the agenda-setting of sports media, the influence of sports stars must be continuously studied along with a follow-up study.

• Health Policy and Management
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• v.16 no.2
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• pp.49-76
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• 2006

The aim of this study was to explore the effects of a computerized review program which was introduced in August 1, 2003, using claims data for acute respiratory infection related diseases. National Health Insurance (NHI) claims data on respiratory infection related diseases before and after the introduction, with six month intervals respectively, were used for the analysis. Clinic was the unit of observation, and clinics with only one physician whose specialty was internal medicine, pediatrics, otorhinolaryngology and family medicine and clinics with a general practitioner were selected. The final sample had 7,637 clinics in total. Indices used to measure practice pattern was prescription rates of antibiotics, prescription rates of injection drug per visit, treatment costs per claim, and total costs per claim. Changes in the number of claims for major disease categories and upcoding index for disease categories were used to measure claiming behavior. Data were analysed using descriptive analysis, t-test for indices changes before and after the introduction, analysis of variance (ANOVA) for practice pattern change for major disease categories, and multiple regression analysis to identify whether new system influenced on provider' practice patterns or not. Prescription of antibiotics, prescription rates of injection drug, treatment costs per claim, and total costs per claim decreased significantly. Results from multiple regression analysis showed that a computerized review system had effects on all the indices measuring behavior. Introduction of the new system had the spillover effects on the provider's behavior in the related disease categories in addition to the effects in the target diseases, but the magnitude of the effects were bigger among the target diseases. Rates of claims for computerized review over total claims for respiratory diseases significantly decreased after the introduction of a computerized review system and rates of claims for non target diseases increased, which was also statistically significant. Distribution of the number of claims by disease categories after the introduction of a computerized review system changed so as to increase the costs per claims. Analysis of upcoding index showed index for 'other acute lower respiratory infection (J20-22)', which was included in the review target, decreased and 'otitis media (H65, H66)', which was not included in the review target, increase. Factors affecting provider's practice patterns should be taken into consideration when policies on claims review method and behavior changes. It is critical to include strategies to decrease the variations among providers.

• Health Policy and Management
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• v.23 no.2
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• pp.112-123
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• 2013

Background: Under the risk of financial sustainability of National Health Insurance, Korean government attempted a series of regulations over pharmaceutical prices. The first price-cut was implemented to the hyperlipidemial treatments, and the prices of statins were reduced on 15th, April in 2009. The purposes of this study are 1) to investigate the impact of this price-cut on pharmaceutical expenditure, and 2) to identify the factors associated with drug-switch among statins. Methods: Using the national patients sample data, this study conducted time series analysis on the expenditures, prices, and volumes of statin drugs. To understand the factors associated with drug-switch, the multinomial logit model was analyzed at the patients level. Results: The results of time series analysis demonstrated that the price-cut of hyperlipidemic medicines did not lead to the reduced expenditure, suggesting the increased volume was the major cause. The multinomial logit analysis identified the switch of healthcare provider as the significant factor that was highly associated with drug-switch, implying the physicians' preference was the major motivation of drug-switch. Conclusion: Without control of utilization, price regulation itself could not reduce pharmaceutical expenditure. This suggests that the pharmaceutical regulations should be implemented on the basis of understanding of provider behaviors. The findings of this study will form the first step for further empirical studies.

• Journal of the Korea Institute of Information Security & Cryptology
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• v.23 no.6
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• pp.1259-1266
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• 2013

Nowadays, the databases are getting larger and larger. As the company has difficulty in managing the database, they want to outsource the database to the cloud system. In this case the database security is more important because their database is managed by the cloud service provider. Among database security techniques, the encryption method is a well-certified and established technology for protecting sensitive data. However, once encrypted, the data can no longer be easily queried. The performance of the database depends on how to encrypt the sensitive data, and on the approach for searching, and the retrieval efficiency that is implemented. In this paper we propose the new suitable mechanism to encrypt the database and lookup process on the encrypted database under control of the cloud service provider. This database encryption algorithm uses the bloom filter with the variable keyword based index. Finally, we demonstrate that the proposed algorithm should be useful for database encryption related research and application activities.

• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.12 no.4
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• pp.111-118
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• 2012

When broadcasters want immediately a variety of VOD files in a distributed server of them data centers and away contents provider, CPs of different platform to exchange high-quality HD, 3DTV video and other video files over the IP networks of high-performance that can be transferred quickly and must be configured quickly. This paper, by using an optional encryption method to complement a QoS and security of public network, suggests high speed and secure content transmission protocol such as VPN(Virtual Private Network) for large video files and big data. As configured high performance VPN, end to end devices use the best of available resources over public network by parallel transfer protocol and the secure content delivery network.

• Journal of the Korea Institute of Information Security & Cryptology
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• v.31 no.6
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• pp.1157-1169
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• 2021

The disaster recovery refers to policies and procedures to ensure continuity of services and minimize loss of resources and finances in case of emergency situations such as natural disasters. In particular, the disaster recovery method by the cloud service provider has advantages such as management flexibility, high availability, and cost effectiveness. However, this method has a dependency on a service provider and has a structural limitation in which a user cannot be involved in personal data. In this paper, we propose a protocol using proxy re-encryption for data confidentiality by removing dependency on service providers by backing up user data using blockchain and distributed storage. The proposed method is implemented in Ethereum and IPFS environments, and presents the performance and cost required for backup and recovery operations.