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An Economic Evaluation of Thread Embedding Acupuncture for the Treatment of Lumbar Herniated Intervertebral Disc in a Randomized Controlled Clinical Trial

  • Kim, Ha-Na;Kim, Jun-Yeon;Park, Kyeong-Ju;Hwang, Ji-Min;Jang, Jun-Yeong;Jo, Min-Gi;Ko, Min-Jung;Chae, Sang-Yeup;Kim, Jung-Hyun;Goo, Bonhyuk;Park, Yeon-Cheol;Seo, Byung-Kwan;Baek, Yong-Hyeon;Nam, Sang-Soo
    • Journal of Acupuncture Research
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    • v.38 no.4
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    • pp.312-319
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    • 2021
  • Background: Lumbar herniated intervertebral disc (LHIVD) is a frequently presented condition/disease in Korean medical institutions. In this study, the economics of thread embedding acupuncture (TEA) was evaluated in a randomized controlled trial comparing TEA with sham TEA (STEA). Methods: This economic evaluation was analyzed from a limited social perspective, and the per-protocol set was from a basic analysis perspective. The cost-effectiveness analysis was based on the change in visual analog scale score, and the cost-utility analysis was based on the quality-adjusted life years. The final results were expressed as the average cost-effectiveness ratio and incremental cost-effectiveness ratio, and furthermore sensitivity analysis was performed to confirm the robustness of the results observed. Results: The cost-effectiveness analysis showed that TEA was 9,908 won lower than STEA, while the decrease in 100 mm visual analog scale score was 8.5 mm greater in the TEA group compared with the STEA group (p > 0.05). The cost-utility analysis showed that TEA was 9,908 won lower than STEA, while the quality-adjusted life years of TEA was 0.0026 years higher than STEA (p > 0.05). These results were robust in the sensitivity analysis, but were not statistically significant. Conclusion: In treating LHIVD, TEA appeared to have cost-effectiveness and cost-utility compared with STEA. However, there were no significant differences between the groups in terms of cost, effectiveness, and utility indicators. Therefore, results must be interpreted prudently; this study was the 1st to conduct an economic evaluation of TEA for LHIVD.

Effect of Online Food Service Franchise Experiences on Satisfaction and Revisit Intention: Application of ANN Analysis (외식프랜차이즈의 서비스 경험이 만족과 재방문의도에 미치는 영향: 인공신경망 분석의 적용)

  • LEE, Shin-Hwa;AHN, Sung-Man;LEE, You-Jung
    • The Korean Journal of Franchise Management
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    • v.10 no.2
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    • pp.59-70
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    • 2019
  • Purpose - Every company studies how to attract and retain new customers to increase competitiveness and profitability. Companies establish strategies to attract customers, secure competitive advantage and generate revenue. Businesses are looking for newer and better ways to differentiate themselves in the marketplace. One of the requirements for service differentiation is to make it a prerequisite for an engaging customer experience. Customer experience can be attained through service experience. Satisfaction determine whether to reuse the food service franchise. The purpose of this study is to investigate the effect of customer experience on the satisfaction and revisit intention of food service franchise. In this study, customer experience consists of three attributes such as service environment, food quality, and price fairness. Also, this study is to identify the importance of three service experience attributes of customer satisfaction and revisit intention using ANN (artificial neural network) analysis. Research design, data, methodology - The survey was conducted on customers who have visited franchise restaurants in one month in order to examine how service environment, food quality, and price fairness have been influenced customer satisfaction and revisit intention through online survey company (SM culture & contents). A total of 300 representative surveys were collected. Of those collected surveys, 26 were not used due to missing information, resulting in 274 as the final sample size. The sample size was more than 10 times more than the number of variables used in the structural model analysis. Results - The findings of this study are as follows: Service environment and price fairness have a significant effect on satisfaction. However, food quality did not have a significant effect on satisfaction. Finally, it was found that satisfaction had a significant effect on revisit intention. Meanwhile, according to the results of ANN analysis, satisfaction as a dependent variable was found to be the most important in male price fairness and service environment in female. Also, when the revisit intention is used as a dependent variable, both male and female price fairness are important. Also, when the intention to revisit is used as a dependent variable, both male and female price processes are important. Conclusions - First, a restaurant franchise enterprise needs to manage customer service experience. Customers should strive to eat and enjoy at a dining franchise store. Second, it is necessary to design a food service franchise shop as a customer-oriented service environment. Franchise companies need to improve the environment so that customers can use the store conveniently. Third, the restaurant franchise menu price needs to be cheaper than the alternative menu. The restaurant franchise menu needs to be constructed with a popular menu that can be used continuously by the customer, so that it can be set at a reasonable price.

The Ways for the Integrated Diversity of Korean Culture Education with Korean Expression Activities - Focusing on the Analysis of the Textbook (한국어 문화교육과 표현활동의 통합적 다양화 방안 - <세종한국문화> 교재 분석을 중심으로 -)

  • Lee, Ran
    • The Journal of the Korea Contents Association
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    • v.20 no.12
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    • pp.681-692
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    • 2020
  • This study analyzed a textbook published for Korean culture education in a trend of communicative teaching methods, and suggested the ways for the integrated diversity of culture education with expression activities. This study set up the final goal of strengthening 'cultural competence' which is the next stage of 'cultural awareness' and 'cultural literacy' in the goal hierarchy for culture education, and analyzed not only the theme distribution but the patterns of expression activities in the textbook. It assumed that one of the most effective ways to achieve the goal is the convergence with expression activities in order to strengthen 'cultural competence' which aims to the creative culture production as well as the simple comparison between learners' mother culture and the target culture. This textbook is characterized by abundant visual materials, focus on the behavior culture and the information culture rather than the achieved culture. and media reading materials in diverse levels for utilization possibly in any proficiency levels. Also, it found out by analyzing the patterns of expression activities that the question forms inducing learners' speech and writing are restricted to a few patterns. Lastly, this study proposed the ways to achieve the goal "cultural competence" as follows: diversity of question forms, extension of expression activities and creative application in integrating the related activities.

Education Reflection on the Concept of Hinduism Ashrama (힌두교의 아슈라마(ashrama)에 관한 교육적 고찰 : 교육이념?목적?목표와 내용 및 방법을 중심으로)

  • Woo, Beodle;Kang, Min A;Son, Dong-In;Shin, Changho
    • (The)Korea Educational Review
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    • v.24 no.4
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    • pp.287-311
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    • 2018
  • This research identifies an educational ideal, purpose of goal intrinsic to Hindu ashrama and provide a concrete list of appropriate educational contents and methods in accordance with them. The ideal is moksa a pursuit of spiritual liberation. The goal is to be consciously aware of and practice the Dharma at each of the four stages of life, as preserved in ashrama, by completing the educational contents and methods in each stage. In the fist stage, the student stage, the goal is to learn social laws, recognize his vocation and responsibilities through studying Veda, and engage in apprenticeship with the teacher. In the second stage, the householder stage, the goal is to get married, take care of his family, and produce the kinds of service the society requires of him. In order to do so, he is expected to learn in his ordinary life the manners for family members and the ways of ancestral rituals. In the third stage, the self-disciplined stage, the goal is to retire from social responsibilities, behave in accordance with norms and rules, and set oneself free from material desire. In order to do so, he is expected to complete the eight stage of yoga and practice asceticism. In the four stage, the nirvana stage, the goal is to completely free from obsession and reaches the spiritual liberation. In order to do so, one is expected to participate in meditation and pilgrimage to the Holy Land until he reaches the final point.

EF Sensor-Based Hand Motion Detection and Automatic Frame Extraction (EF 센서기반 손동작 신호 감지 및 자동 프레임 추출)

  • Lee, Hummin;Jung, Sunil;Kim, Youngchul
    • Smart Media Journal
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    • v.9 no.4
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    • pp.102-108
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    • 2020
  • In this paper, we propose a real-time method of detecting hand motions and extracting the signal frame induced by EF(Electric Field) sensors. The signal induced by hand motion includes not only noises caused by various environmental sources as well as sensor's physical placement, but also different initial off-set conditions. Thus, it has been considered as a challenging problem to detect the motion signal and extract the motion frame automatically in real-time. In this study, we remove the PLN(Power Line Noise) using LPF with 10Hz cut-off and successively apply MA(Moving Average) filter to obtain clean and smooth input motion signals. To sense a hand motion, we use two thresholds(positive and negative thresholds) with offset value to detect a starting as well as an ending moment of the motion. Using this approach, we can achieve the correct motion detection rate over 98%. Once the final motion frame is determined, the motion signals are normalized to be used in next process of classification or recognition stage such as LSTN deep neural networks. Our experiment and analysis show that our proposed methods produce better than 98% performance in correct motion detection rate as well as in frame-matching rate.

A Study on the Development of Bubble Reduction System through Experimentation and Analysis (실험과 해석을 통한 기포저감 시스템의 개발에 대한 연구)

  • Sim, Woo-Bin;Yoo, Young-Cheol;Park, Sung-Young
    • Journal of the Korea Convergence Society
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    • v.12 no.3
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    • pp.197-204
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    • 2021
  • This study relates to a device that increases efficiency by reducing air bubbles in a hydraulic system used in hydraulic machinery. The reverse design and product production of the bubble reduction device, which is a commercial product overseas, was carried out. Overseas commercial products were set as the base model, a rotary rotor and an inclined rotor were added to increase the surface area of the fluid, and an annular equal distribution part with a slot in the lower part was additionally applied to distribute the fluid evenly. In addition, internal flow trends were analyzed and a system that evenly distributes the linear flow of fluid was selected as the first improvement model. Based on the first improvement model, a case where the angle of the inclined rotor is 45° was selected as the second improvement model. Based on this, as a result of setting the exit width of the annular equally distributed part as a variable, the bubble reduction efficiency was highest when the lower slot diameter of the annular part was 10mm. Finally, the system in which the average cross-sectional flow velocity decreased by 147% compared to the Base Model was derived as the final improved model.

Development and Validation of a Questionnaire on the Feasibility of a Mobile Dietary Self-Monitoring Application (식습관 관리 애플리케이션의 적용 가능성에 대한 설문지 개발 및 타당성 연구)

  • Lee, Heejin;Ahn, Jeong Sun;Lee, Jung Eun
    • Korean Journal of Community Nutrition
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    • v.27 no.2
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    • pp.146-157
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    • 2022
  • Objectives: This study aimed to develop and assess the content validity and internal consistency of a questionnaire on the feasibility of mobile dietary self-monitoring applications. Methods: We developed a feasibility questionnaire to assess the overall usage, convenience, usefulness, and satisfaction of mobile dietary applications. The initial draft of the questionnaire contained 17 items with yes/no, multiple-choice, and open-ended questions and 52 items on 5-point Likert scales. To validate the content, ten experts evaluated the relevance of the items for each subscale using a 5-point scale. We calculated the item-level content validity index (I-CVI) and scale-level content validity index (S-CVI). A total of 102 adults answered the questionnaires which reflected the experts' reviews. We conducted an exploratory factor analysis to determine the underlying structure of responses and categorized convenience, usefulness, and satisfaction. We also calculated Cronbach's alpha coefficient to examine the internal consistency of items in each subscale. Results: The S-CVI score of the items was 0.86, and we removed items with an I-CVI score of < 0.80. We combined, revised, or separated some remaining items and added one item as per the experts' comments. As a result, we included 16 items about overall usage and 42 sub-questions. Based on the responses of the 102 adults, we performed exploratory factor analysis using the principal axis method. We retained items with a factor loading of > 0.40, resulting in a final set of 35 questions (convenience: 15, usefulness: 12, satisfaction: 8 items). The Cronbach's alpha values of the three scales were 0.93, 0.91, and 0.91 for 1) usefulness, 2) convenience, and 3) satisfaction, respectively. Conclusions: We developed a feasibility questionnaire for mobile dietary self-monitoring applications and examined its content validity and internal consistency. Our questionnaire has the potential to measure the feasibility of mobile dietary self-monitoring applications.

A Comparative Study of Ship Collision Legislation in Korea and China (한국과 중국의 선박충돌법제의 비교법적 연구)

  • Jiancuo, Qi
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.28 no.4
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    • pp.577-586
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    • 2022
  • The increasing trade volume between Korea and China has rapidly expanded the maritime transport between the two countries. However, safety, particularly considering the ship collisions in the Yellow Sea and East Sea waters, has not been fully ensured. These collision accidents in that region endanger traffic safety and the marine environment, moreover, it has the potential to cause legal complexity because Korea and China haver domestic legislation, that are considerably different in some aspects. International conventions and domestic legislation in China provide detailed laws with respect to ship collisions, however, the theory of ship collision infringement still needs to be improved, enriched, and developed. Because these laws are not very clear on the resolution of disputes resulting from ship collisions, we focused on the final judgments by the Supreme Court of China (SPC), and the judicial judgments set by the Maritime Court of China. This study aimed to explore the domestic legislation applicable to disputes related to ship collisions in China, and comparatively investigate the legal provisions of Korea and China on the issue of ship collisions, particularly on the aspect of damage compensation, fault ration, and liability apportionment.

Analysis of the Importance and Satisfaction of Viewing Quality Factors among Non-Audience in Professional Baseball According to Corona 19 (코로나 19에 따른 프로야구 무관중 시청품질요인의 중요도, 만족도 분석)

  • Baek, Seung-Heon;Kim, Gi-Tak
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.2
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    • pp.123-135
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    • 2021
  • The data processing of this study is focused on keywords related to 'Corona 19 and professional baseball' and 'Corona 19 and professional baseball no spectators', using text mining and social network analysis of textom program to identify problems and view quality. It was used to set the variable of For quantitative analysis, a questionnaire on viewing quality was constructed, and out of 270 survey respondents, 250 questionnaires were used for the final study. As a tool for securing the validity and reliability of the questionnaire, exploratory factor analysis and reliability analysis were conducted, and IPA analysis (importance-satisfaction) was conducted based on the questionnaire that secured validity and reliability, and the results and strategies were presented. As a result of IPA analysis, factors related to the image (image composition, image coloration, image clarity, image enlargement and composition, high-quality image) were found in the first quadrant, and the second quadrant was the game situation (support team game level, support player game level, star). Player discovery, competition with rival teams), game information (match schedule information, player information check, team performance and player performance, game information), interaction (consensus with the supporting team), and some factors appeared. The factors of commentator (baseball-related knowledge, communication ability, pronunciation and voice, use of standard language, introduction of game-related information) and interaction (real-time communication with the front desk, sympathy with viewers, information exchange such as chatting) appeared.

The Planning of Elementary Multicultural Education Programs to Enhance Self-esteem (자아존중감 증진을 위한 초등 다문화교육 프로그램 구안)

  • Jang, Seong-Min;Park, Jin-Hee
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.8
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    • pp.487-499
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    • 2020
  • This study aims to planned Elementary Multicultural Education Program for Promoting Self Esteem. To this end, consider the application force of education and teaching system designed to reorganize the ADDIE Model study was carried out in accordance with the analysis, design, development, process evaluation. To this end, analyzing the between self-esteem and group theory related to them and the social identity theory and key concepts to consider in the context of multicultural education programs for elementary self-esteem enhancement identity, prejudice, cooperation and was composed of equality. Four key concepts are sub-elements of self-esteem individuals, homes, schools, set up a detailed learning objectives in accordance with the social and selecting the learning content and organization, which was composed of a total of 16 class periods. Considering the characteristics and interests of the target students, the teaching-learning method was designed to utilize various methods, including games, quizzes, and discussions, and each class was designed to be developed by organizing them into subjects-learning goals-activities(recognition-exploration-clearing). Since in the three-member expert review, modify the content on the basis of opinions and presented the final program. The program planned by this study, further research is required to verify the effectiveness and utilization in the educational field and expects effective multicultural education.