• KSII Transactions on Internet and Information Systems (TIIS)
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• 제3권3호
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• pp.235-250
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• 2009

An understanding of performance of database driven network applications is critical in combating slow performance of e-commerce web sites, besides efficient web page design, and high quality and well-maintained web server equipment. This paper describes a method of measuring performance from the user viewpoint, which can help enormously in making realistic assessment of true performance of database driven applications. The performance measurements were taken at user locations by using several specially designed JavaScript functions along with ASP scripts. A performance study is presented in this paper, comparing performance of data access using stored procedures with the traditional way of querying a database. It is generally believed that stored procedures have performance benefits as they are pre-compiled. However, our study shows that the data access approach using stored procedures provides significant benefits(by about 30%) over the traditional approach for querying a commercial MySQL database, only when retrieving a substantial amount of data(at least 10,000 rows of data).

• Journal of Preventive Medicine and Public Health
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• 제43권3호
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• pp.235-244
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• 2010

Objectives: To examine the prophylactic antibiotic use in reducing surgical site infection. Methods: This was a retrospective study for patients aged 18 years and older who underwent gastrectomy, cholecystectomy, colectomy, cesarean section and hysterectomy. The data source was quality assessment data of the Health Insurance Review & Assessment Service gathered from medical records of 302 national hospitals. Prophylactic antibiotic use was defined as: timely antibiotic administration or inappropriate antibiotic selection. We performed hierarchical logistic regression to examine the association between prophylactic antibiotic use and surgical site infection with adjustment for covariates. Results: The study population consisted of 16 348 patients (1588 gastrectomies, 2327 cholecystectomies, 1,384 colectomies, 3977 hysterectomies and 7072 cesarean sections) and surgical site infection was identified in 351 (2.1%) patients. The rates of timely antibiotic administration and inappropriate antibiotic selection varied according to procedures. Cholecystectomy patients who received timely prophylactic antibiotic had a significantly reduced risk of surgical site infection compared with those who did not receive a timely prophylactic antibiotics (OR 0.64, 95% CI=0.50-0.83), but no significant reduction was observed for other procedures. When inappropriate prophylactic antibiotics were given, the risk of surgical site infection significantly increased: 8.26-fold (95% CI=4.34-15.7) for gastrectomy, 4.73-fold (95% CI=2.09-10.7) for colectomy, 2.34-fold (95% CI=1.14-4.80) for cesarean section, 4.03-fold (95% CI=1.93-8.42) for hysterectomy. Conclusions: This study examines the association among timely antibiotic administration, inappropriate antibiotic selection and surgical site infection. Patients who received timely and appropriate antibiotics had a decreased risk of surgical site infection. Efforts to improve the timing of antibiotic administration and use of appropriate antibiotic are needed to lower the risk of surgical site infection.

• Journal of Information Technology Applications and Management
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• 제12권2호
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• pp.129-143
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• 2005

In recent years, two major streams in medical information systems are：1) system integration among OCS(Order Communication System), EMR(Electronic Medical Record), PACS(Picture Archiving and Communication System), and ERP(Enterprise Resource Planning) and 2) system integration through medical collaboration between East and West medical service providers. One of the characteristics which differentiate the Korean medical industry from the western medical industry is the East-West medical collaboration. In many respects there are many differences between East and West medical treatment. Although East and West medical treatment have developed from different medical philosophies and standards, we assume that the better medical care can be provided by integrating their medical procedures effectively. The two possible approaches to the integration of East and West medical information systems are suggested in this paper：One is loosely coupled model and the other is tightly coupled model. EMR improves the quality of medical record which reflects the quality of clinical practice. It provides more efficient and convenient way of input, retrieval, storage, communication and management of medical data. We abstracted the standard medical procedures from the two medical procedures performed in Daejeon Oriental Hospital and Hehwa Clinic at Daejeon University and also abstracted database schema by analyzing the characteristics of information needed in East-West medical collaboration. Our EMR is composed of two types of data：one is structured data and the other is unstructured data, which are formalized by SOAP(Subjective, Objective, Assessment, Plan) format. Currently the integrated system is implemented and operated successfully for six months.

• 산경연구논집
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• 제6권1호
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• pp.37-40
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• 2015

Purpose - Investors, creditors, governments, and others make decisions using reasonable information provided by others. In many cases, the users of this information have goals and objectives conflicting with those of the information's producers, indicating the need for external auditors. Research design, data, and methodology - Competition in auditing has noticeably intensified globally, especially in developed countries. This means that auditors are striving to increase the efficiency of their methods. In recent years, risk-based auditing has become prominent among these efforts. In risk-assessment auditing, the auditor may directly affect the effectiveness and efficiency of the audit. Results - As a central framework, the risk assessment process improves audit quality and effectiveness such that the audit will lead to necessary changes. Previous studies have shown that risk assessment affects the nature, timing, and content of audit procedures. Conclusions - In the planning stage of an audit, audit risk assessment may identify any inappropriate or inefficient distribution of resources or determine whether the results of an audit will be ineffective or incorrect. Thus, assessing audit risk is a critical task.

• Journal of Preventive Medicine and Public Health
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• 제26권3호
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• pp.400-411
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• 1993

The aim of this study is to analyze the variations among hospitals and hospital groups in resource use and procedures of diagnostic and therapeutic process, such as laboratory tests, radiologic examinations, tissue diagnosis, timing of surgery after admission, the time required for operation. The study was performed for five procedures including cesarean section (C/S), appendectomy, cholecystectomy, cataract extraction, and pediatric pneumonia. The 2,316 subjects were selected from medical insurance claims list, and from this list 413 cases were sampled for medical record review. The patterns of resource utilization and process of treatment were described according to hospitals and characteristics of hospital groups. The major results were as follows : 1. The numbers of laboratory and radiologic tests showed significant difference among hospitals and hospital groups. In case of hospital groups, we could find tendencies of more tests with increasing hospital bed size. 2. In general, the proportion of operative cases evaluated by tissue diagnosis postoperatively among all operations ranged from 28.3% to 100%. The proportion varied among hospital groups, of which general hospital A group(more than 15 specialty) showed the highest proportion. 3. Post-admission delay until operation and the time required for operative procedure were not invariable among hospitals and hospital groups. The duration of operation in tertiary hospitals was slightly shorter than general hospitals, with varying statistical significance. We could find that probably there were differences of quality among hospitals in some components of procedures, which suggested that the implementation of quality assurance activities would be mandatory. In this study, we simply described the patterns of resource utilization and some features of clinical process, with institution of the need for advanced studies with in-depth analyses for each component of diagnosis and treatment procedures.

• 한국방사선학회논문지
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• 제17권4호
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• pp.565-572
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• 2023

본 연구에서는 국내 공공 부문에서 실시하고 있는 의료기관 평가 중 영상검사와 관련된 현황을 살펴보고 개선 방향을 제시하고자 하였다. 의료기관 평가 중 영상검사와 관련된 주요 평가는 의료기관 인증평가와 영상검사 적정성 평가가 있으며, 의료기관 인증평가에서는 영상검사 운영과정, 정확한 결과 제공, 안전관리 절차 준수 등을 평가하고 있다. 영상검사 적정성 평가에서는 인력, 장비와 관련된 구조 지표, 환자평가 실시율, 피폭 저감 프로그램 등이 포함되어 있었다. 하지만 좀 더 안전하고 질 높은 영상검사를 위해서는 의료기관의 인증평가 참여율을 높이는 방안 마련이 필요하며, 영상검사 적정성 평가의 인력지표 개선과 인센티브 지급에 대한 고려도 필요하다. 마지막으로 국가 차원의 방사선 노출 통합관리도 함께 병행되어야 할 것이다.

• 품질경영학회지
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• 제22권3호
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• pp.16-33
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• 1994

This paper developes a multiple-item scale instrument (called SHIPQUAL which is designed to measure the quality of shipping industry. The procedures of developing instrument were followed by recommendations on the developing measures of marketing constructs. We divided shipping service quality into 4 demensions (reliability, conformability, timely/completness, safety) by empirical study. These demensions and scales were varified through the assessment of reliability and validity. Finally, we suggested potential applications of the scale into the shipping industry.

• Journal of Nutrition and Health
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• 제37권8호
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• pp.712-721
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• 2004

The objective of this study was to evaluate the microbiological quality of heating and after-heating processed foods for implementation of a HACCP system in day-care center foodservice operations. The evaluating points were microbial assessment and temperature of foods during receiving, cooking, and serving in heating process. In non-heating process, in addition to monitoring microbial assessment of food during preparation, cooking, and serving steps, the microbial populations of employees' hands and utensils and serving temperature were also evaluated. Microbiological quality was assessed using 3M Petrifilm$^{TM}$ to measure total plate count and coliforms for foods and utensils and Staphylococcus aureus for hands in five Gumi day-care centers. Microbiological quality assessment for foods and utensils is summarized as follows. Microbiological quality of the heating processed foods was satisfactory for cooking and serving steps. The internal temperature of food was above 74$^{\circ}C$. However, temperature control before the serving step was not achieved due to inappropriate time management between the cooking and serving steps. In the after-heating process, the total plate counts of boiled mungbean sprouts salad, blanched spinach salad, com vegetable salad were below the standard at the serving step. The majority of samples showed that coliforms exceeded the norm, which is thought to be the result of the cross-contamination from utensils. These results suggest that it is essential to educate employees on the importance of hand washing and of avoiding cross-contamination by using clean, sanitized equipment to serve food in the after-heating process. Establishing Sanitation Standard Operating Procedures (SSOPs) is an essential part of any HACCP system in day-care center foodservice operations.

• 환경영향평가
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• 제32권4호
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• pp.230-241
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• 2023

우리나라 해상풍력발전단지 경관의 질 평가 관리체계 마련이 시급한 시점에서 외국의 사례를 분석함으로써 우리나라 해상풍력발전단지 경관의 질 평가 개선방안 마련을 위한 시사점을 도출하여 효율적인 경관평가 방향을 모색하고자 하였다. 해외에서 수행한 사례와 제도 분석을 통해 도출된 주요 내용은 다음과 같다. 첫째, 해상풍력발전단지는 대규모 사업으로 해외 사례와 같이 사전 계획수립부터 경관에 대한 고려가 필요하다. 둘째, 해양경관의 질 평가항목의 확대와 체계화가 마련되어야 한다. 셋째, 새로운 경관 영향을 고려할 수 있는 탄력적인 평가체계가 요구된다. 해상풍력발전단지 사업에 따른 경관적 영향들을 파악하기 위해 해외 사례들을 통해 도출된 경관평가 항목 및 절차를 참조하되 국내 해상현황에 적합하게 반영하여 해상풍력발전사업 시 발생할 수 있는 경관영향을 최소화할 수 있는 계획이 구체적으로 도입되어 지속 가능한 해상풍력발전의 활용에 기여하고자 한다.

• 한국초전도ㆍ저온공학회논문지
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• 제25권3호
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• pp.34-37
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• 2023

The practical application of REBCO coated conductor (CC) tapes, vital for energy transmission (e.g., cable application) and high-field magnets (e.g., coil application), necessitates efficient and simple quality assessment procedures. This study introduces a systematic approach to assess the electromechanical properties of REBCO CC tapes under 77 K and self-field conditions. The approach involves customized tensile and bending tests that clarify the critical current (I_c) response of the CC tapes under mechanical loads induced by tension and bending. This study measures the retained Ic values of commercially available GdBCO CC tapes under 250 MPa tensile stress and 40 mm bending diameter. Through experimentation, the study demonstrates the resilience of these tapes and their suitability for applications. By presenting a simplified stress-based analysis and a bending test of the tapes, the study contributes to effective quality assessment methods for the development of practical superconducting products.