• Korean Journal of Clinical Pharmacy
• /
• v.26 no.3
• /
• pp.245-253
• /
• 2016

Objective: This study was conducted to evaluate payer-driven medication adherence intervention program from the patient's and counselor's perspectives. Methods: Target patients for intervention were selected by retrospective adherence measures based on national health insurance claims data for hypertension, diabetes and hyperlipidemia. As a serial intervention for higher risk groups of medication non-adherence, initial direct mailing, the first direct telephone call and the second direct call or a home visit were followed. Interview approach to qualitative inquiry was used to evaluate intervention results. Results: Participants including 4 patients received telephone calls, and 4 National Health Insurance Service staff and 4 pharmacists participated as counselors were interviewed regarding their impression of the intervention program. Three major themes arose: overall perception; necessities; and suggestions for success, of the intervention. Despite short period of intervention, educational intervention by telephone counseling involving pharmacists shows potential to improve self-management of chronic disease, and pharmacist-involvement. But more sophisticated selection of target patients requiring the intervention and complementation of electronic database system would be necessary. In addition, personal disposition of counselor was revealed to be an important factor for achieving successful outcome of intervention. Conclusion: The findings suggest that the individualized counseling intervention would be an efficient option for improved medication adherence. Further researches should include longer periods of interventions, a quantitative analysis using adherence measures based on claims data and consideration of clinical benefits associated with the intervention.

• Journal of East-West Nursing Research
• /
• v.26 no.1
• /
• pp.1-16
• /
• 2020

Purpose: The purpose of this study was to evaluate the effectiveness of non-pharmacologic interventions for chronic nonspecific low back pain (CLBP) in adults aged 18-64 years. Methods: We searched for potentially relevant randomized controlled trials and non-randomized controlled trials through five Korean electronic databases (i.e., Korean Studies Information Service System, Research Information Sharing Service, Korean Medical Database, KoreaMed, and National Assembly Library) published from January 2010 to May 2019. Two investigators independently selected the studies based on the criteria and assessed risk of bias in the included studies. We estimated the effect size of interventions using Comprehensive Meta Analysis 3.3. Results: Of 10,151 studies, 26 studies met the inclusion criteria and 15 studies were included in the meta-analysis. Exercise reduced low back pain (Hedges's g=-1.53, 95% CI: -2.22 to -0.85) and pain-related disabilities (Hedges's g=-0.92, 95% CI: -1.40 to -0.45). We found that taping was effective in decreasing low back pain (Hedges's g=-1.12, 95% CI: -1.51 to -0.73) and pain-related disabilities (Hedges's g=-0.50, 95% CI: -0.93 to -0.07). Manual therapy yielded a marginally significant reduction in low back pain (Hedges's g=-2.32, 95% CI: -4.64 to 0.00), the therapy was not effective in decreasing pain-related disabilities. Conclusion: Although there was little evidence for the effectiveness of manual therapy in adults with CLBP, exercise and taping were effective to relieve pain and pain-related disabilities. Based on these findings, we suggest the development of non-pharmacologic interventions or a nursing intervention protocol for the CLBP management. Also, nurses should consider implementation of effective non-pharmacologic interventions for CLBP.

• Information Systems Review
• /
• v.8 no.3
• /
• pp.175-200
• /
• 2006

Application service provider(ASP) model is emerging as a new form of application outsourcing. ASP model may be attractive for small companies and even some medium-sized companies because these companies lack appropriate resources and technical expertise to develop and operate their information system. However, studies of ASP model have so far been neglected. Service quality is argued to be a crucial success factor for ASP, but yet there is not an empirically validated instrument for measuring ASP service quality. Therefore, this paper aims to develop and test a model for measuring ASP service quality. In order to accomplish these, SERVQUAL that has developed in marketing area were adapted to the context of this study. The research sample was designed by randomly selecting 300 different companies from the database that listed up the small companies participating in "ASP based e-business project for small enterprises". 240 usable responses were received by interview. The results are that reliability and tangibility impact user performances and satisfaction more than any of the service quality dimensions.

• Journal of Korean Society for Geospatial Information Science
• /
• v.13 no.3 s.33
• /
• pp.53-57
• /
• 2005

The moors ecosystem is sensitive environment change and weak in artificial interference. These nature property are very important to people. It is necessary to preservation and protection the moors with a countermeasure. We really need to Environment-GIS(E-GIS) using Geographical Information System(GIS) and digital map including range, correct position and attribute data of moors. In this study, we take priority of making a database of moors management. Taking effect an environment assesment, we concentrate on a standard method of digital map production and a preservation of moors in our research using GIS. Especially, we have to preserve our important national heritage using GIS when Environment Assesment is conducting under construction. We suggest to pre-estimated model of hidden moors as analysing terrain, geological feature, a geographical distribution of plants and animals using GIS.

• Journal of Korean Society of Rural Planning
• /
• v.10 no.2 s.23
• /
• pp.35-42
• /
• 2004

This study aimed at establishing the multi-ranged approach on data acquisition technique for rural landscape planning, which tried categorization, grading and transferring of landscape elements in the more detailed level. For the systematic management of database for the topographic informations in the village level, a kind of the aerial photographing techniques with UAV(Unmanned Aerial Vehicle) was used and its resultant data for the landscape simulation of the rural village, which in turn helped the convenient approach to understanding of its comprehensive spatial structure. The image data from aerial photography was systematically processed through; First, after revision of the distorted one, the image map was adjusted with the topographical and cadastral maps. Second, the farm houses and buildings, and other facilities difficult to find out in the topographical map was digitally read from the adjusted image. The topographical landscape view of rural village was simulated on the base of DEM(Digital Elevation Model) and the 3-dimensional shapes of farm houses and buildings were automatically modelled using the input system developed by the author. In conclusion, the aerial image information adjusted with the edited maps could give more intuitive and detailed villagescape than the ordinary one and through landscape simulation of the rural village, its topography, features of houses/buildings and spatial distribution of land uses were effectively reproduced. And, by the linkage between field survey and photographed/simulated results of the typical landscape elements using hyper-link method, it would be expected to develop as an effective visualization technique of rural landscape.

• Journal of KIISE:Databases
• /
• v.30 no.2
• /
• pp.109-124
• /
• 2003

Although most commercial relational DBMSs Provide a graphical query language for the user friendly interfaces of the databases, few research has been done for graphical query languages in object databases. Expressing complex query conditions in a concise and intuitive way has been an important issue in the design of graphical query languages. Since the object data model and object query languages are more complex than those of the relational ones, the graphical object query language should have a concise and intuitive representation method. We propose a graphical object query language called GOQL (Graphical Object Query Language) for object databases. By employing simple graphical notations, advanced features of the object queries such as path expressions including set attributes, quantifiers, and/or methods can be represented in a simple graphical notation. GOQL has an excellent expressive power compared with previous graphical object query languages. We show that path expressions in XSQL(1,2) can be represented by the simple graphical notations in GOQL. We also propose an algorithm that translates a graphical query in GOQL into the textual object query with the same semantics. We finally describe implementation results of GOQL in the Internet environments.

• Journal of Korean Society for Geospatial Information Science
• /
• v.13 no.2 s.32
• /
• pp.45-50
• /
• 2005

Recently, slope failures are disastrous when they occur in mountainous area adjoining highways. The accidents associated with Slope failures have increased due to rapid urbanization of mountainous area. Therefore, the inspection of slope is conducted to maintain road safety as well as road function. In this study, we apply to the remedy which is comparing existent description to advanced technology using GIS. we utilize a 3D scanner, one of the advanced method, to generate precise and complete road slope model from expert point of view. In result, we are transferred practical data from external slope stability to hazard slope information. We suggest not only the database but also the method of road risk evaluation based on GIS.

• Quality Improvement in Health Care
• /
• v.22 no.2
• /
• pp.75-90
• /
• 2016

Objectives: This study measures the level of cognition of employee's patient safety culture and evaluates the current level through comparing the results to external levels. Ultimately it is performed to construct a strategic improvement plan through the basic database for patient's safety culture. Methods: A questionnaire survey of self reporting type was carried out using structured questionnaire of the patient's safety culture for employees currently employed in a hospital. Total responders was 1,129 and a response rate was 54.6%. The survey results were calculated with a percent positive response, and the current level was evaluated by comparing with the survey results of a hospital (2009 and 2014) and the survey result of The Agency for Healthcare Research and Quality(2014). Results: Sub-dimension of high percent positive response for each area were 'teamwork within hospital units' (80%), 'feedback & communication about error' (73%) and 'supervisor/manager expectations & actions promoting safety' (67%). Meanwhile, 'teamwork across hospital units' (31%), 'hospital management support for patient safety' (29%), 'staffing' (27%) and 'non-punitive response to error' (17%) were relatively low percent positive response. Compared to the survey results of AHRQ (2014) for each area, 'teamwork within hospital units' (80%), 'feedback & communication about error' (73%), 'frequency of event reporting' (66%) were at the top 50% percentile level and the remaining sub-dimensions showed a very low level in the lower 10% percentile area. Conclusion: In order to establish a system for patient safety culture within the hospital and evaluate the effect on this, it is necessary to periodically evaluate the patient's safety culture and establish regulations on hospital safety culture to comply with this.

• Journal of Korean Society on Water Environment
• /
• v.36 no.5
• /
• pp.453-467
• /
• 2020

This study aimed to inventory the water pollutant discharge of wastewater from two facilities, one primary steel manufacturing facility and one petroleum refinery, both of which are located in Korea, and to identify ways to improve the wastewater treatment process through field investigation. Probability evaluation was used to inventory the substances in polluted water. The samples collected in this study included original wastewater, on processing wastewater, and treated water. The general description of wastewater occurrence, major sources, and treatment facilities were also investigated to obtain an integrated database of the pollutants created by different industrial categories. Based on our analysis of raw wastewater and final effluent, the detected pollutants were confirmed by analyzing their presence in the raw or supplemental materials, the potential of formation as byproducts, and the possibility of inclusion as impurities. The compounds detected for each category were screened via investigation of their possible sources and confirmed as the final water pollutant inventories. Thirty kinds of water pollutants were emitted by the primary steel manufacturing facility (reference in case A), including 14 specified hazardous water pollutants. The petroleum refinery (reference in case B) emitted 36 water pollutants, including 16 specified hazardous water pollutants.

• Tunnel and Underground Space
• /
• v.18 no.3
• /
• pp.165-174
• /
• 2008

Thermo-hydro-chemico-mechanical evolution of the radioactive waste repository and surrounding geological media is one of the key issues for the radioactive waste disposal. This article describes not only the basic context for the site selection but also a reasonable strategy for the repository related research based on the results of the French repository project carried out by ANDRA (National radioactive waste management agency). To have some alternatives for the determination of a preferable depth and geological media, it would be recommendable to establish a database system. The curing process of the fractures or microfissures in the EDZ (Excavation Disturbed Zone) during operation time has to be examined considering the evolution of the EDZ and the reversibility of the repository. It is prerequisite to carry out a feasibility study and to validate the design concept and design parameters in a properly constructed underground research laboratory (URL) in Korea.