• Title/Summary/Keyword: Service Review

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A Review of the Types and Characteristics of Healthy Life Expectancy and Methodological Issues

  • Kim, Young-Eun;Jung, Yoon-Sun;Ock, Minsu;Yoon, Seok-Jun
    • Journal of Preventive Medicine and Public Health
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    • v.55 no.1
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    • pp.1-9
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    • 2022
  • An index that evaluates the health level of a population group considering both death and loss of function due to disease is called a summary measure of population health (SMPH). SMPHs are broadly divided into life year indices and life expectancy indices, the latter of which comprise healthy life expectancy (HLE). HLE is included as a policy target in various national and regional level healthcare plans, and the term "HLE" is commonly used in academia and by the public. However, the overall level of understanding of HLE-such as the precise definition of HLE and methods of calculating HLE-still seems to be low. As discussed in this study, the types of HLE are classified into disability-free life expectancy, disease-free life expectancy, quality-adjusted life expectancy, self-rated HLE, and disability-adjusted life expectancy. Their characteristics are examined to facilitate a correct understanding and appropriate utilization of HLE. In addition, the Sullivan method, as a representative method for calculating HLE, is presented in detail, and major issues in the process of calculating HLE, such as selection of the population group and age group, estimation of death probability, calculation of life years, and incorporation of health weights, are reviewed. This study will help researchers to select an appropriate HLE type and evaluate the validity of HLE research results, and it is expected to contribute to the vitalization of HLE research.

Analysis of changes and trends in the use of sedatives in dental sedation using data from the National Health Insurance in Korea

  • Kim, Hyuk;Ryoo, Seung-Hwa;Karm, Myong-Hwan;Seo, Kwang-Suk;Kim, Hyun Jeong
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.22 no.1
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    • pp.49-60
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    • 2022
  • Background: Although dental sedation helps control anxiety and pain, side effects and serious complications related to sedation are gradually increasing. Due to the introduction of new drugs and sedation methods, insurance rates, legal regulations, drugs, and methods used for dental sedation are inevitably changed. In the Republic of Korea, National Health Insurance is applied to all citizens, and this study investigated changes in the use of sedatives using this big data. Methods: This study used customized health information data provided by the Healthcare Insurance Review & Assessment Service of Korea. Among patients with a record of use of at least one of eight types of sedatives for dental sedation between January 2007 and September 2019 were selected; the data of their overall insurance claims for dental treatment were then analyzed. Results: The number of patients who received dental sedation was 786,003, and the number of dental sedation cases was 1,649,688. Inhalational sedation using nitrous oxide (N2O) accounted for 86.8% of all sedatives that could be claimed for drugs and treatment. In particular, it was confirmed that the number of requests for sedation using N2O sharply increased each year. Midazolam showed an increasing trend, and in the case of chloral hydrate, it gradually decreased. Conclusion: According to our analysis, the use of N2O and midazolam gradually increased, while the use of chloral hydrate gradually decreased.

Editorial for Vol. 30, Issue 3 (편집자 주 - 30권 3호)

  • Kim, Young Hyo
    • Korean journal of aerospace and environmental medicine
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    • v.30 no.3
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    • pp.83-85
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    • 2020
  • In commemoration of Vol. 30, Issue 3, our journal prepared five review articles and one original paper. The global outbreak of COVID-19 in 2020 has impacted our society, and especially the aviation and travel industries have been severely damaged. Kwon presented the aviation medical examination regulations related to COVID-19 announced by the Ministry of Land, Infrastructure, and Transport of the Republic of Korea. Lim summarized various efforts of airlines to overcome the crisis in the aviation industry. He also discussed the management of these aircraft as the number of airplanes landing for long periods increased. Finally, he suggested various quarantine guidelines at airports and onboard aircraft. COVID-19 has had a profound impact on mental health as well as physical effects. Kim investigated the impact of COVID-19 on mental health and suggested ways to manage the stress caused by it. The Internet of Things (IoT) refers to a technology in which devices communicate with each other through wired or wireless communication. Hyun explained the current state of the technology of the IoT and how it could be used, especially in the aviation field. In the area of airline service, various situations arise between passengers and crew. Therefore, role-playing is useful in performing education to prepare and respond to passengers' different needs appropriately. Ra introduced the conceptual background and general concepts of role-playing and presented the actual role-play's preparation process, implementation, evaluation, and feedback process. For a fighter to fly for a long time and perform a rapid air attack, air refueling is essential, which serves refueling from the air rather than from the aircraft base. Koo developed a questionnaire based on the HFACS (Human Factors Analysis and Classification System) model and used it to conduct a fighter pilot survey and analyze the results.

Machine Learning-based Optimal VNF Deployment Prediction (기계학습 기반 VNF 최적 배치 예측 기술연구)

  • Park, Suhyun;Kim, Hee-Gon;Hong, Jibum;Yoo, Jae-Hyung;Hong, James Won-Ki
    • KNOM Review
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    • v.23 no.1
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    • pp.34-42
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    • 2020
  • Network Function Virtualization (NFV) environment can deal with dynamic changes in traffic status with appropriate deployment and scaling of Virtualized Network Function (VNF). However, determining and applying the optimal VNF deployment is a complicated and difficult task. In particular, it is necessary to predict the situation at a future point because it takes for the process to be applied and the deployment decision to the actual NFV environment. In this paper, we randomly generate service requests in Multiaccess Edge Computing (MEC) topology, then obtain training data for machine learning model from an Integer Linear Programming (ILP) solution. We use the simulation data to train the machine learning model which predicts the optimal VNF deployment in a predefined future point. The prediction model shows the accuracy over 90% compared to the ILP solution in a 5-minute future time point.

An Empirical Study on Customer Subscription Intention and Satisfaction on Subscription-based Music Streaming Platform (구독형 음원 스트리밍 플랫폼 고객의 구독의도 및 고객만족에 대한 실증 연구)

  • Lee, Sang Hoon;Kim, Seo Young;Park, Min Seo;Kim, Youn Sung
    • Journal of Korean Society for Quality Management
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    • v.50 no.3
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    • pp.593-615
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    • 2022
  • Purpose: The purpose of this study was to explore and examine the factors influencing customer satisfaction and subscription intention in order to propose useful implication regarding subscription economy model. Methods: This study adopts the extended Unified Theory of Acceptance and Use of Technology model (UTAUT2) as the theoretical framework. On the basis of literature review, this study suggested 9 related hypothesis. To examine the hypothesis proposed, the study designed surveys with 32 questions and 456 answers were collected for the analysis. The study adopted a structural equation model and path analysis, using AMOS and SPSS programs. Results: The results of this study are as follow: All hypothesis except performance expectancy and effort expectancy have significant influence on customer satisfaction. Performance expectancy and effort expectancy have no significant influence on customer satisfaction and facilitate condition is significant but negatively associated with customer satisfaction. Conclusion: Result of this study is expected to suggest data regarding subscription economy and customer satisfaction for business with subscription model. In detail the result implies that highly sophisticated curation system would create more customer satisfaction and subscription intention rather than how a subscription-based platform is easily used. Moreover, curation system of subsription-based music platform should function with high accuracy on recommendation in a creative visual form in order to gain comparative advantage while most platforms have built own curation service.

Derivation of Indicators for Value Assessment of School Gardens

  • Hong, In-Kyoung;Yun, Hyung-Kwon;Jung, Young-Bin;Lee, Sang-Mi
    • Journal of People, Plants, and Environment
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    • v.23 no.4
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    • pp.433-443
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    • 2020
  • Background and objective: The boom in urban agriculture has also resulted in the creation of many school gardens. With the increase in various hands-on education programs, people are interested in assessing the value of school gardens. This study was conducted to derive indicators for service value assessement of educational farming experience using school gardens. Methods: Through literature review, we selected assessment items and sub-factors. The indicators for evaluating the effectiveness of school gardens are classified using the Delphi method that involve a focus group experts. In order to increase the reliability and validity of the selected and classified items, an exploratory factor analysis was conducted. In addition, the relative importance and priority of each factor in each field were assessed using the analytic hierarchy process (AHP). Results: We classified the indicators into 4 criteria and come up with 13 items and 33 sub-factors in educational value, health value, economic value, and ecological and environmental value. Most of the items for the 4 value criteria derived were significant for assessing the value of agricultural experience services with content validity ratio (CVR) higher than 0.59 and reliability higher than .6 . In the value criteria, the experts rated educational value as the most important, followed by health value, ecological and environmental value, and economic value. In the assessment items, the most important was improvement of social functions. In the sub-factors, the most important was strengthening of ties (friendly interactions). Conclusion: Among the derived indicators assessing the value of school gardens, 4 criteria, 12 evaluation items and 29 sub-factors showed significance. The schematic index would be useful for the assessment.

The Analysis regarding Inducing and Hindering Factors of Online Fashion Product Browsing

  • Lee, Su-Jin;Lee, Jin-Hwa
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.10
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    • pp.67-80
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    • 2022
  • In this study, I analyzed the inducing and hindering factors of online shopping malls on browsers in the process of browsing fashion products in online shopping malls. In-depth interviews were conducted by presenting browsing-related questions to women in their 20s and 50s who are interested in browsing fashion products online. Based on the answers of the interviewees, using grounded theory, we analyzed and presented six factors such as price factor, promotion factor, purchase review factor, visual information factor, product information factor, and service factor. Based on inducing and hindering factors to browsing analyzed in this study, a strategy to design a browsing environment in terms of shopping malls was suggested, which will be helpful for practical strategies and marketing in related industries. Basic data will be presented in a thesis on a new type of shopping mall browsing environment related to the rapidly developing information and communication technology. In addition, the negative emotions experienced in relation to the detrimental factors of shopping malls in the browsing process are expected to be helpful in researching fashion product browsing related to consumer psychology.

Patient-Centered Doctor's Competency Framework in Korea (한국의 환자중심 의사 역량 연구)

  • Jeon, Woo-Taek;Jung, Hanna;Kim, Young-Jon;Kim, Chanwoong;Yune, Sojung;Lee, Geon Ho;Im, Sunju;Lee, Sun-Woo
    • Korean Medical Education Review
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    • v.24 no.2
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    • pp.79-92
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    • 2022
  • With increasing demands for medical care by society, the medical system, and general citizens and rapid changes in doctor's awareness, the competencies required of doctors are also changing. The goal of this study was to develop a doctor's competency framework from the patient's perspective, and to make it the basis for the development of milestones and entrustable professional activities for each period of medical student education and resident training. To this end, a big data analysis using topic modeling was performed on domestic and international research papers (2011-2020), domestic newspaper articles (2016-2020), and domestic social networking service data (2016-2020) related to doctor's competencies. Delphi surveys were conducted twice with 28 medical education experts. In addition, a survey was conducted on doctor's competencies among 1,000 citizens, 407 nurses, 237 medical students, 361 majors, and 200 specialists. Through the above process, six core competencies, 16 sub-competencies, and 47 competencies were derived as subject-oriented doctor's competencies. The core competencies were: (1) competency related to disease and health as an expert; (2) competency related to patients as a communicator; (3) competency related to colleagues as a collaborator; (4) competency related to society as a health care leader (5) competency related to oneself as a professional, and (6) competency related to academics as a scholar who contributes to the development of medicine.

Investigation of the Time Required for General Radiography (일반 방사선검사의 소요 시간 실태조사)

  • Lim, Woo-Taek;Joo, Young-Cheol;Kim, Yon-Min
    • Journal of radiological science and technology
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    • v.45 no.3
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    • pp.255-262
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    • 2022
  • In this study, by analyzing the examination time for each procedure, the appropriate workload of radiologic technologist is analyzed based on the actual examination time in the current clinical setting by comparing with the examination time in the radiology field setting of the health insurance review and assessment service. In addition, this result is introduced into the calculation of relate value units; it was attempted to provide accurate and objective evidence in the field of radiology. From May 2020 to December 2021, the study retrospectively investigated the examination times recorded in the electronic medical record and picture archiving and communication system at 5 tertiary general hospitals and 1 general hospital. The total of 16 examination parts are applied in this study, including the head, sinuses, chest, ribs, abdomen, pelvis, cervical, thoracic, lumbar, shoulder, elbow, wrist, hip, femur, knee, and ankle. The minimum number of images that could be obtained per radiation generator was 3.6 images for one hour, and the maximum was 6.4 images. When 50% median of procedure time is calculated, the minimum number of images that could be obtained was 16.7 images and maximum was 35.3 images; in addition, minimum examination time is 1.7 minutes, and maximum time is 3.6 minutes. In conclusion, it is judged that there will be insufficient explanation time for basic infection instructions such as hand hygiene during the examinations in current clinical practice. It is believed that radiologic technologists will contribute to providing higher-quality of radiation examination services to the public by complying with guidelines for work and setting appropriate workload on their own.

A Systematic Review and Meta-Analysis on the Effect of Guibi-tang for Postpartum Depression (산후우울증에서 귀비탕(歸脾湯)의 임상효과에 대한 체계적 문헌 고찰 및 메타분석)

  • Eun-Sol Kang;Young-Tae Ahn;Hyo-Jeong Kim;Ji-Soo Hyun;Jin-Young Kang;Yoon-Jae Lee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.36 no.2
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    • pp.55-68
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    • 2023
  • Objectives: The purpose of this study is to analyze the effectiveness of Guibi-tang that are used for postpartum depression. Methods: We searched on five databases [Korean studies Information Service (KISS), Oriental medicine advanced searching integrated system (OASIS), The Cochrane Library, PubMed, and China national knowledge infrastructure (CNKI)] with keywords for Postpartum depression (English, Korean, and Chinese) and evaluated the risk of bias. Meta-analysis was performed on the selected studies. Results: 8 potentially relevant articles were retrieved for further evaluation. There was evidence that Guibi-tang compared with Western medicine was significantly higher rate in total effect rate (RR 1.20, 95% CI 1.04, 1.39, p=0.01). Also, the combined therapeutic effects of Guibi-tang and Psychological intervention compared with Psychological intervention were statistically significant in total effect rate (RR 1.14, 95% CI 1.05, 1.24, p=0.002). And they showed improvement on scores of HAMD (Hamilton depression scale, HAMD) and SF-36 (36-Item short form health survey, SF-36). Conclusion: Guibi-tang appears to be more effective compared to Western medicine in the treatment of postpartum depression. The combination Guibi-tang and Psychological intervention was more effective than psychological intervention alone treated for postpartum depression. However, since unclear risk of bias, the result of this study should be considered carefully. Further clinical trials should be carried out in order to academical clinical progress regarding treatment of Postpartum Depression.