• Perspectives in Nursing Science
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• 제8권2호
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• pp.148-155
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• 2011

Purpose: The aims of this study were to (1) summarize the HF self-management interventions and (2) identify gaps and priorities for further investigation. Methods: A computer search of the literature over the past decade yielded 9 HF self-management studies. Six studies used non-experimental design; only 3 (33%) studies used quasi-experimental design which were included in this review. Results: The three pivotal HF self-management interventions studies were important because they highlight the positive effects of self-management compliance and other quality of life outcomes as well as discussing various issues. The informational booklet and telephone follow-up were the most common modalities in these interventions. The periodic telephone counseling offered in 2 studies effectively facilitated patient self-management compliance. There were some methodological flaws such as small sample sizes (range 8~21 in each group) and lack of experimental designs, long-term follow-up, and random group assignment. Additionally, the use of valid, reliable outcome measures is necessary to compare the effects of the interventions worldwide. Conclusion: More clinical evidence on HF self-management is needed using a larger sample size and the efficacy needs to be tested for various outcomes, including morbidity, mortality, and health care cost.

• The Korean Journal of Pain
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• 제26권1호
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• pp.3-13
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• 2013

Chronic noncancer pain is a significant and growing public health challenge in the United States. Lacking effective alternative interventions for effective chronic noncancer pain management, many physicians have turned to opioid pharmacotherapy. Increased opioid prescribing brings not only gains in therapeutic benefit but also a higher incidence of adverse drug events including increased medication misuse and opioid related mortality. Currently the United States must confront the dual problems of widespread undertreated chronic noncancer pain and a prescription opioid abuse crisis. Withholding pain relieving drugs from patients in need is unjustifiable, yet drug diversion, abuse and adverse drug events have become major social as well as medical problems. At the heart of this crisis is the lack of definitive evidence about the risk to benefit ratio of opioid pharmacotherapy for chronic noncancer pain both on an individual case and on a population basis. This article describes the extent and severity of the American chronic noncancer pain problem and the history of opioid pharmacotherapy for chronic noncancer pain in the United States. It then discusses the concept of evidence based practice and reviews current evidence supporting opioid pharmacotherapy for chronic noncancer pain as well as adverse drug events related to opioid pharmacotherapy including misuse and abuse. Finally, it considers the conflict of providing pain relief versus protecting society and reviews steps that governmental agencies, industry and others are taking to contain and ultimately resolve the problems of excessive prescribing and conflicting priorities.

• Environmental Engineering Research
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• 제19권2호
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• pp.131-138
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• 2014

The inconvenient truth of sustainable public squat toilet culture varies among nationalities. This culture may be comfortable to the people of China, yet uncomfortable to the non-Chinese, according to the adequate environmental management in Yanbian Korean Autonomous Prefecture (YKAP), northern China. We conducted a series of field surveys and individual interviews (Chinese n = 1,000 and non-Chinese [foreign visitors] n = 100) on several aspects of the public squat toilet: structural properties, waste disposal methods, important factors, and overall satisfaction level. The significant factors in response to the public squat toilets were cleanliness, odor, toilet paper, temperature, soap, other facilities, and presence of cubicles. These factors should be policy priorities of the local government. In addition, 66.2% of Chinese and 91% of foreign visitors desired type E toilets (two full-high partition walls and a door). The results illustrate the nature of a sustainable and beautiful approach to the culturally and environmentally sound management of various types of public squat toilet in YKAP. The government needs to focus on the future-oriented and excreta treatment management of the sustainable toilet culture for residents and visitors of YKAP.

• 동의생리병리학회지
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• 제29권1호
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• pp.66-71
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• 2015

The purpose of the study is to establish priorities in integrated medicine policy. Delphi method was used in conducting a survey on integrated medicine specialists regarding the policies of integrated medicine and actions. For specialists in integrated medicine, total 17 persons selected included scholars who performed minimum one study on integrated medicine, medical staff who performing integrated medical service at institutions that implemented integrated medical care or those who were involved in creating or implementing policies on integrated medicine. The first Delphi-method survey conducted from Apr. 14 through 18, while the second survey was carried out from Apr. 21 through 25. To prioritize the policies based on the results of the mini Delphi-method survey, Analytic Hierarchy Process(AHP) was performed for 15 persons answered to mini Delphi-method from May 2 through 16, 2014. From the Delphi-method survey, four policies and 16 actions were obtained. AHP showed the first priority placed on 'Building the Infrastructure of Industrialization in the Integrative medicine' of the 4 policies and 'Developing new diagnostic and treatment instruments' was given the highest priority of the 16 actions. For implementation of integrated medicine policy, the 4 policies and the 16 actions found in this research require government support and should be urgently implemented according to its priority.

• 보건행정학회지
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• 제28권1호
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• pp.98-103
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• 2018

This study aims to evaluate the status of Korean healthcare among Organization for Economic Cooperation and Development countries and to monitor the trend of health care status since 2000. The position value for relative comparison (PARC) index was selected to gauge the level of healthcare status in demand, supply, accessibility, quality, and cost as per healthcare policy aspects. The Mann-Kendall test was conducted to allocate healthcare status of Korea since 2000. The PARC values indicate strength and weakness of Korean healthcare system by the mathematical comparisons. Korea positioned higher in demand, supply, accessibility, and quality. Yet, there are shortages in human resources and primary care. In conclusion, we suggest utilizing this study provides evidence to prioritize health care problems that can lead to establishing healthcare policy.

• 한국산학기술학회논문지
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• 제11권11호
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• pp.4207-4211
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• 2010

본 논문의 연구목적은 병원정보시스템의 성과측정 요인들의 우선순위를 연구하고자 하는데 있다. 이를 위해서 연구자는 국 내외의 문헌 연구를 통해서 병원정보시스템의 성과측정요인을 정리하였고, 이들 성과측정 지표들 사이의 중요도를 기반으로 한 우선순위를 결정하기 위하여 계층분석기법(AHP)을 사용하였다. 요인들 사이의 쌍대분석의 결과로 우리는 성과측정요인들 사이의 순위와 요인들의 구성인자인 핵심성과지표들 사이의 중요도에 따른 정렬된 리스트를 작성할 수 있었다. 본 연구의 결과는 급변하는 경영환경에서 각 병원들이 경쟁력을 확보하기 위해 투자한 병원정보시스템의 활용성과를 분석하며, 병원정보시스템의 운용 전략에 있어서의 방향을 제시할 수 있는 기준으로서의 역할을 할 수 있을 것으로 기대한다.

• 한국산업정보학회논문지
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• 제26권5호
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• pp.69-77
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• 2021

본 논문에서는 기업의 IT시스템에 대한 위협에 대응하고자 하는 기업의 자산을 지켜주는데 매우 중요한 영역인 보안관제 위협정보를 확인하고자 한다. 보안관제는 보안 장비에서 발생한 이벤트, 로그를 중심으로 실시간 분석하여 위협을 판정하고 대응한다. 보안관제 업무에 있어서 우선적으로 위협정보를 평판정보와 분석정보로 구분하여 우선순위를 도출하고자 한다. 평판정보는 Hash, URL, IP, Domain으로 구성하였으며, 분석정보는 E-mail, CMD-Line, CVE, 공격동향정보로 구성하여 분석하였다. 연구결과, 평판정보의 우선순위가 상대적으로 높았으며 위협정보에 대한 정확성과 대응성을 높이는 것에 의의가 있다.

• 한국항공운항학회지
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• 제29권3호
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• pp.84-99
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• 2021

Flight data from operational quality assurance programs plays a significant role in identifying factors as one of the key data in the development of proactive and preventive aviation safety management technologies based on data. The list of events in the flight quality assurance program recommended by the FAA differs from the list set and managed by airlines themselves and is based on the frequency of occurrence rather than the severity of individual events. In this work, we compared the list of FOQA events presented by the FAA with the list of some domestic airlines. We also investigate the severity priorities of events for airline captains and conduct research on how to improve the operation of the operational quality assurance program.

• Asia Pacific Journal of Business Review
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• 제4권1호
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• pp.61-77
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• 2019

This article explored the status of E-Government initiative in developing countries by taking the case of Ethiopia. The study had analyzed the practice, challenges and the future prospect of the E-Government initiative in the country. The paper had used both secondary and primary sources of data. In identifying the practice and future prospects of the E-Government imitative, related works in the area were reviewed and appraised. In ascertaining the major challenges, structured and semi-structured interviews were carried out with selected stakeholders from the government office and the private sector. The result of the study had shown that the country had registered a promising progress in E-Government index in the past four years ranking at 157th in the year 2014, which was standing at 172nd in the year 2012. Above all, high- level political commitment and the design of specific actions plans that are linked to the national sustainable development priorities were the key success factors. Nevertheless, there are still enormous challenges that have to be tackled for citizens to drive the benefits arising from the implementation of E-Government initiative. The study had identified limited cross-sectoral connectivity, lack of intra-organizational connectivity, low human resource capacity, language barrier, lack of awareness and absence of appropriate legal and regulatory framework as major challenges. Finally, the study forwarded constructive suggestion that can be adopted in the way forward of the E-Government initiative.

• 의학교육논단
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• 제21권3호
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• pp.127-136
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• 2019

Medical schools have been working to produce competent doctors and improve the quality of care by introducing and implementing new curricula and innovative teaching and learning methods. Despite these efforts, health disparities within and between countries still exist. To close these gaps, medical schools must identify the priorities of the community, region, and/or nation and conduct education, research, and service that reflect them-the core foundation of the social accountability of medical schools. Many medical schools and networks around the world have tried to achieve social accountability, but this needs more attention in Korea. This study will review the literature in aims to improve understanding and promote the implementation of the social accountability of medical schools. Most medical schools that practice the principles of social accountability focus primarily on the medically underserved in their communities or those who have limited access to health services, and have built collaborative partnerships with stakeholders to meet the needs of society. In addition, in order to implement social accountability effectively and efficiently, medical schools have developed strategies and various evaluation frameworks appropriate to the context of each school. To have more socially accountable medical schools, it is necessary to clarify the concept of social accountability and to establish a system that can evaluate the impacts. Medical schools exist to alleviate suffering and promote health, and this can be accomplished through social accountability.