• Title/Summary/Keyword: Research Priorities

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Heart Failure Self-management Interventions: Evidence from Korean Patients

  • Kim, Jin-Shil;Yoo, Hye-Ra
    • Perspectives in Nursing Science
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    • v.8 no.2
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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.

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Opioid Pharmacotherapy for Chronic Noncancer Pain: The American Experience

  • Chapman, C. Richard
    • The Korean Journal of Pain
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    • v.26 no.1
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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.

The Cultural and Environmental Unsoundness of the Chinese Public Squatting-Type Toilet: A Case Study toward a Sustainable Excreta Treatment System

  • Chang, Jin-Soo
    • Environmental Engineering Research
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    • v.19 no.2
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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.

Prioritization in the Policy of Integrated Medicine that Uses the Delphi Method and Analytic Hierarchy Process (델파이 기법과 AHP기법을 사용한 통합의료정책 우선순위 수립 연구)

  • Park, Youn Ok;Son, Chi Hyoung
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.29 no.1
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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.

Position Value for Relative Comparison of Healthcare Status of Korea among Organization for Economic Cooperation and Development Countries, 2015 (2015년 한국 보건의료의 상대적 위치와 추이: 경제협력개발기구 국가와 비교)

  • Chae, Wonjenog;Lee, Sang Ah;Park, Eun-Cheol
    • Health Policy and Management
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    • v.28 no.1
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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.

Analysis and Measurement of Performance Factors of HIS (병원정보시스템의 성과측정을 위한 측정 요인 도출 및 중요도 분석)

  • Gi, Hong-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.11
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    • pp.4207-4211
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    • 2010
  • The goal of this paper is to set up the order list of performance measurement factors according to the its weights. For this purpose the AHP method were implied. The research of this paper is carried out in two steps. At first step, the performance measurement factors are crystallized through review of the korean and foreign researches. In second step, the weights and order list of critical success factors of Hospital Information System were complete. The AHP method were performed in second step. The order list of all CSFs will be determined according to their weights and priorities. This order list shows which factors have the most useful influence on the performance of HIS. This result could play the role as milestone for the effective management of Hospital Information System in Korea.

Analysis of Threat Information Priorities for Effective Security Monitoring & Control (효과적인 보안관제를 위한 위협정보 우선순위 도출)

  • Kang, DaYeon
    • Journal of Korea Society of Industrial Information Systems
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    • v.26 no.5
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    • pp.69-77
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    • 2021
  • This study aims to identify security-based threat information for an organization. This is because protecting the threat for IT systems plays an important role for an corporate's intangible assets. Security monitoring systems determine and consequently respond threats by analyzing them in a real time situation, focusing on events and logs generated by security protection programs. The security monitoring task derives priority by dividing threat information into reputation information and analysis information. Reputation information consisted of Hash, URL, IP, and Domain, while, analysis information consisted of E-mail, CMD-Line, CVE, and attack trend information. As a result, the priority of reputation information was relatively high, and it is meaningful to increase accuracy and responsiveness to the threat information.

Event Type and Severity Priority Survey of Airline Flight Operation Quality Assurance(FOQA) Program (운항품질보증프로그램 이벤트 유형 및 심각도 우선순위 조사)

  • Kim, Jin Ho;Lee, Sang Gee;Moon, Woo Choon;Jeong, Hyun Jin
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.29 no.3
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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.

E-Government Practice, Challenges and Future Prospects in Developing Countries: the Case of Ethiopia

  • Denbu, Meleket Sahlu;Kim, Yun Seon
    • Asia Pacific Journal of Business Review
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    • v.4 no.1
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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.

Social Accountability of Medical Schools: Concept and Implementation Strategies (의과대학의 사회적 책무성: 개념과 실천전략)

  • Gil, Yoon Min;Jeon, Woo Taek
    • Korean Medical Education Review
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    • v.21 no.3
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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.