• Korean Journal of Clinical Pharmacy
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• v.19 no.2
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• pp.120-130
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• 2009

The objective of this study was to analyze and to improve therapeutic drug monitoring(TDM) service of vancomycin in a local hospital. Patients with TDM service between September 2005 and December 2008 were included and the data were collected for vancomycin use and components of TDM. During that period, 421 cases of TDM service of vancomycin in 236 patients were retrospectively reviewed. The first dosages of vancomycin were appropriate in 135(57.2%) patients and administration of vancomycin was discontinued in 126(53.4%) patients due to therapeutic failure or adverse drug reaction. MRSA was identified in 191(80.9%) patients and 135(70.7%) samples for the identification were sputum. According to the TDM reports, 232(55.1%) serum samples were obtained at the steady-state conditions and 55.5% of the samples that were drawn before the steady-state was due to the physician's inappropriate knowledge about the steady-state. Based on the time of vancomycin administration, 35.8% of the samples were not obtained at the recommended sampling time. For the patients in general wards, the most common reason for the incorrect samples was routine serum sampling by the laboratory medicine phlebotomists between 6 and 8 a.m. except sunday. In contrast, samples drawn by nurses or physicians at inappropriate time were the most common reason for the incorrect samples with patients in the intensive care units. Physicians accepted 68.5% of the recommendations for vancomycin dosage and administration. In conclusion, TDM service of vancomycin needs to be improved in inappropriate sampling time and vancomycin dosage. For solving these problems, current team made of TDM pharmacists and physicians of laboratory medicine can be expanded to include a physician of infectious diseases, nurses and laboratory medicine phlebotomists as new members. Through the TDM service of vancomycin by the new team, we can settle the problems and make the guideline for the scientific controversies associated with therapeutic monitoring of vancomycin.

• Journal of Service Research and Studies
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• v.10 no.2
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• pp.91-108
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• 2020

This study was performed to derive a modern service management model reflecting the philosophy of the new business administration. Service management as the modern business administration should be faithful to the spirit of modernity. In addition, service management must be faithful to the essence of service in service economy era. And since modern management is to manage organizations those are the central organizations of human society, it must be managed according to the common principles of the world. Management that satisfies these three management philosophy conditions is defined as modern service management. In this study, we analyzed that the existing service management framework does not meet these standards of modern management and derived an improved modern service management model. The modern service management model must be a management model that reflects the essence of intangible goods called service, it must be a management framework that reflects the modern spirit, and it must be a management model that reflects the common principles of the world required by the central organization of the modern economic society. Therefore, this study analyzed the modern spirit in addition to the service essence and the common principle of the world analyzed in the previous study, and presented a modern service management model with these three requirements. Also, examples of modern service management were presented. This study is a conceptual model, and analytical research is needed to demonstrate that this management model can consistently produce excellent management performance by strengthening empirical studies in the future.

• Journal of the Korea Safety Management & Science
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• v.18 no.1
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• pp.99-109
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• 2016

The types and characteristics of services that airport service systems provide have recently been diversified and specialized to meet various needs of users and their travelling activities. A service for the mobility handicapped is one of the newly demanded services. However, current services for them, which are provided by most of the Korean airports, are not sufficient to satisfy their needs. Additionally, there exist a lot of constraints in the use of those services, which makes it difficult for the mobility handicapped to use them effectively. Another problem is that a lot of the mobility handicapped do not even know that airports now offer services specialized for them. Considering that Korean airports have been recognized as a top-level service provider for about decades, it can be claimed that such an inferior quality of services for the mobility handicapped should be urgently improved. With this issue in mind, this study aims to propose an approach to improving the quality of airport services for the mobility handicapped. Firstly, we examined the actual conditions of the services for the mobility handicapped and identified the limitations of the current services, based on the results of literature review and questionnaire survey against the mobility handicapped and stakeholders of the services currently provided. Then we established a set of design improvement requirements and suggested several ways to improve the services for the mobility handicapped. Finally, we pointed out several issues to be resolved to design better specialized services for the mobility handicapped.

• Korean Journal of Community Nutrition
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• v.20 no.3
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• pp.220-235
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• 2015

Objectives: The purpose of this study was to investigate how clinical nutrition services is provided at a long term care hospital in Korea and to investigate job satisfaction levels of the clinical dietitians. Methods: Survey questionnaire was sent to dietitians working at a long term care hospital in Korea. The participating hospitals (n=240) were randomly selected from 1,180 long- term care hospitals using a stratified sampling method. A total of 134 long term care hospital s and 223 dietitians completed the survey of clinical nutrition service s and job satisfaction questionnaires The job satisfaction questionnaire included 27 job satisfaction questions on task, stability vision, working conditions, and relationship areas. Results: The average nutritional screening rate was 17.9% and the rate of computerized nutritional screening system was 9.7% in the participating hospitals. Nutritional intervention rate was only 3.2% of all patients. KOIHA (Korea Institute for Healthcare Accreditation) accreditated hospitals showed only 50% performance rate of nutrition service evaluation area. This shows that after achieving KOIHA accredition, many hospitals do not emphasize the performance of nutritional services. The job satisfaction scores in all four areas ranged from 2/5 to 3/5, implying generally low job satisfaction level in hospital dietitians. Linear regression analysis results showed that the "hospital adequacy grade" type was a significant predictor of job satisfaction level for two areas (working conditions & relationship). Conclusions: There is a need to provide proper standardized clinical nutrition services as a primary treatment and we observed large variations in the quality of nutritional service s in long term care hospitals. Therefore, government and local hospitals have to work on implementing nutritional programs and policies for improved service and care.

• Journal of Service Research and Studies
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• v.8 no.2
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• pp.25-39
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• 2018

In the period of great change in human society, a change in educational services is also necessary. Thus, the current research investigates a new model of educational services to prepare people to be successful in an era of service and the fourth industrial revolution. We analyzed all the educational service models from the first educational institution, The Academy, founded by Plato to one of the most innovative institutions, Minerva schools. Then, we designed both an educational institution model and an educational service model that will cultivate and educate prospective students to be multidimensional to fit to the new upcoming eras. Since the era of service in the 21st century is also the era of job creation, we designed models focused on developing the broad knowledge and practical skills need to solve the most complex issues of our time. A new model was designed based on the results of the survey of existing major programs, analysis of the demands of the new generation, competency requirements, and etc. The newly designed conceptual model was improved from study focusing on tools to study that focuses on intrinsic discipline and competence, nurturing dream and imagination. In order to realize the new educational service, we developed technical conditions and a methodology for improving educational service performance. In the future, it is necessary to deepen the study and carry out research on implementing new educational service. In addition, an empirical study of the performance of the new model will also be needed.

• Journal of Service Research and Studies
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• v.10 no.2
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• pp.17-29
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• 2020

This study was performed to derive a modern service management model reflecting the philosophy of the new business administration. Service management as the modern business administration should be faithful to the spirit of modernity. In addition, service management must be faithful to the essence of service in service economy era. And since modern management is to manage organizations those are the central organizations of human society, it must be managed according to the common principles of the world. Management that satisfies these three management philosophy conditions is defined as modern service management. In this study, we analyzed that the existing service management framework does not meet these standards of modern management and derived an improved modern service management model. The modern service management model must be a management model that reflects the essence of intangible goods called service, it must be a management framework that reflects the modern spirit, and it must be a management model that reflects the common principles of the world required by the central organization of the modern economic society. Therefore, this study analyzed the modern spirit in addition to the service essence and the common principle of the world analyzed in the previous study, and presented a modern service management model with these three requirements. Also, examples of modern service management were presented. This study is a conceptual model, and analytical research is needed to demonstrate that this management model can consistently produce excellent management performance by strengthening empirical studies in the future.

• Macromolecular Research
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• v.11 no.2
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• pp.73-79
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• 2003

Generally, field performance of elastomeric track pad components has been poor, especially for the medium to heavy tonnage tracked vehicles, which are operated on the hilly cross-country course. The service life of these track pad, is affected not only by the terrain and environmental conditions but also by the speed, cornering, braking, weight of the vehicle, and the track tread design. In this research, modulus, tearing energy, and the rate of crack propagation of vulcanizates are evaluated by changing base materials to improve the service time of track pad. By increasing the contents of carbon black, modulus, tearing energy, and fatigue crack growth resistance of vulcanizates improved. Compared with the NR vulcanizate, the HNBR vulcanizate had a higher value of tearing energy. The rate of crack propagation of vulcanizates using smaller size carbon black was slower than that using larger size carbon black. When the HNBR was blended with the ZSC, the tearing energy of the vulcanizates was a little reduced because of the high modulus but the crack propagation rate was reduced significantly. In the relation between the crack propagation rate and the strain energy release rate, though up to 100% strain were applied to specimens, the slope on the log scale ($\beta$) varied between 1.72 and 2.3 with the kind of elastomer.

• Structural Engineering and Mechanics
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• v.59 no.2
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• pp.373-385
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• 2016

During recent years researchers performed large effort to increase the service life and asphalt stability of the roads against traffic loads and weather conditions. Investigations carried out in various aspects such as changes in gradation, addition of various additives, changes in asphalt textures and etc. The objective of this research is to evaluate the advantages of adding recycled glass powder (RGP), Crumb Rubber (CR), styrene-butadiene rubber (SBR) and styrene butadiene styrene (SBS) to base bitumen with grade of 60/70 for modification of asphalt concrete. Initial studies conducted for determining the physical properties of bitumen and modifiers. A series of asphalt concrete samples made using various combinations of RGP, CR, SBR, SBS and base bitumen. All samples tested using Indirect Tensile Strength (ITS), Indirect Tensile Strength Modulus (ITSM) and Marshall Stability Tests. The new data compared with the results of control samples. The results showed that replacing RGP with known polymers improved ITS and ITSM results considerably. Also the Marshall Stability of modified mixtures using RGP is more than what is found for the base blend. Ultimately, the new RGP modifier had a huge impact on pavement performance and results in high flexibility which can be concluded as high service life for the new modified asphalt concrete.

• Journal of Korea Multimedia Society
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• v.20 no.1
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• pp.1-9
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• 2017

Explosive deployment of smart mobile devices such as smart phones, and tablets along with expansion of wireless internet bandwidth have enabled the deployment of mobile video streaming such that video traffic becomes the most important service in wireless networks. Recently, for more efficient video streaming services, the ISO MPEG group standardized a protocol called DASH (Dynamic Adaptive Streaming over HTTP) and the standard has been quickly adopted by many service providers such as YouTube and Netflix. Despite of the convenience of mobile streaming services, users also suffer from low QoE(Quality of Experience) due to dynamic channel fluctuations and unnecessary downloading due to high churning rates. This paper proposes a noble efficient video rate selection algorithm considering user buffer level, channel condition and churning rate. Computer simulation based performance study showed that the proposed algorithm improved the QoE significantly compared to a method that determines the video rate based on current channel conditions. Especially, the proposed method reduced the rebuffering rate, one of the most important performance factors of the QoE, to a nonnegligible level.

• The Korean Journal of Health Service Management
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• v.13 no.3
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• pp.93-103
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• 2019

Objectives: The purpose of this study was to analyze the association between health status and physical activity levels in older adults (over 65 years) in Korea. Methods: The participants were selected from the database of the Seventh Korea National Health and Nutrition Examination Survey (KNHANES VII), conducted by the Korea Centers for Disease Control and Prevention in 2017. A chi-square test and logistic regression analysis were used to analyze data. Results: The findings showed that health conditions such as hypertension and diabetes were related to physical activity levels of the older adults. In addition to health status, social and economic factors such as gender, age, and geographic region should be considered in order to initiate the practice of aerobic and strength exercise in the older adults. Conclusions: To initiate physical activity levels in the older adults, it is necessary to consider support for costs involved, policies required for the development of integrated exercise programs, expansion of public exercise facilities, and improved facilities.