• Title/Summary/Keyword: service outcome

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A Study on an Efficient Routing Scheme for using a priority scheme in Wireless Sensor Networks (무선 센서 네트워크 환경에서 우선순위 기법을 이용한 효율적인 경로 설정에 대한 연구)

  • Won, Dae-Ho;Yang, Yeon-Mo
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.48 no.4
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    • pp.40-46
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    • 2011
  • Wireless Sensor Networks(WSNs) have shown a lot of good outcomes in providing a various functions depending on industrial expectations by deploying ad-hoc networking with helps of light loaded and battery powered sensor nodes. In particular, it is strongly requested to develop an algorithm of cross-layer control between 2-layer and 3-layer to deriver the sensing data from the end node to the sink node on time. In this paper, based on the above observation we have proposed an IEEE802.15.4 based self priority routing scheme under UC Berkely TinyOS platform. The proposed beacon based priority routing (BPR) algorithm scheme utilizes beacon periods in sending message with embedding the high priority data and thus provides high quality of service(QoS) in the given criteria. The performance measures are the packet Throughput, delivery, latency, total energy consumption. Simulation results under TinyOS Simulator(TOSSIM) have shown the proposed scheme outcome the conventional Ad hoc On-Demand Distance Vector(AODV) Routing.

A Research on Inpatient Perception of Kindness on Nurse (입원환자가 지각하는 간호사의 친절에 관한 연구)

  • Kang Hyun-Sook;Kim Il-Won;Kim Won-Ock;Jang Kwang-Ja
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.3 no.2
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    • pp.259-271
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    • 1996
  • This reserch has been done in order to improve quality of nursing and medical service. In order to improve those qualities the study has been done to know inpatient perception of kindness and meaning of kindness which patients receive from nurse and also what effect inpatient have when they experience kindness from nurse. The subjects were 454 people who admitted in K Hospital. Time period was from October to December 1995. This survey has been done by personal interview with a written questionnaire. Analysis of data has been done by $X^2-test$ and percentage. The results of the research may be summarized as follows. 1. The inpatients perception of kindness on nurse were explanation(26.8%), tolerance(16.3%), warm-heartedness(12.8%), interest(9.5%), ability(8.4%), confidence(6.4%), respect(4.0%), support(2.65%). 2. In order to find out general moaning of kindness, study classified by age, sex, education, job, experience of hospitalization, inpatient ward. As a result of $X^2-test$, no special meaning of kindness was presented in inpatient perception of kindness. 3. Contents kindness which inpatient experienced were, warm-heartedness(23%), understanding(18.1%), interest(17.8%), ability(12.8%), tolerance(5.7%), confidence(2.6%), 4. Over half of subjects(59.1%) answered stability to effect on kindness of Nurse. Next are self-confidence(7.9%), respect(5.3%), confidence(4.6%), warm-heartedness(3.5%), understanding(2.6%). According to above results inpatient feels that meaning of kindness were explanation, tolerance, warm-heartedness. This meaning has no distinctive difference other than consistent meaning. Likewise, inpatient experience about contents of kindness is similar to meaning of kindness. As a result of this research, which show that kindness of nurse gives patient stability, respect and confidence, we would kindness is important for recovery of inpatient. Therefore, this research outcome could be able to help to improve quality of nursing and medical service.

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Case Study on EA Performance in Total Reconstruction Project of Korean National Customs Information Network (국가관세종합정보망 전면재구축 사업을 통한 EA 성과연구)

  • Park, Sungsik;Shin, Hyosang;Lee, Seogjun
    • Journal of Information Technology and Architecture
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    • v.10 no.4
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    • pp.479-496
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    • 2013
  • Today, a corporate and the government is making significant investments in informatization in order to enhance competitiveness however, question on the outcome of information-oriented investment has continuously been posed and in order to resolve such problems, the technique of Enterprise Architecture (EA) Despite such fact, in the case of the central administrative institute, even if the EA maturity standard has continuously improved through continuous investment when compared to the past without deviation between institutes, the establishment of EA and the work utilization of EA compared to the management competence still is analyzed to be relatively weak. This study completed the preliminary feasibility study in 2012 for Korea Customs Service which has been appointed as the representative institute that best utilizes EA in the field of information operation and evaluation field in the 2010 EA Maturity Evaluation and it can become a case study that can contribute to more continuous development and improvement of other public institute EA by introducing the performance of EA-based 4th Korean National Customs Information Network which has entered into total reconstruction in 2013 and by identifying the implications of EA performance arising from such.

Radiologic Outcome of Beta-Tricalcium Phosphate as a Bone Substitute in Orthopaedic Surgery (정형외과 수술에서 골대체제로써 Beta-Tricalcium Phosphate 사용에 대한 방사선학적 결과)

  • Park, Hyungseok;Moon, Jeong Eun;Cho, Yong Jin
    • The Korean Journal of Health Service Management
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    • v.13 no.4
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    • pp.133-144
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    • 2019
  • Objectives: To analyze the radiologic results of patients treated with bone defects treated with beta-tricalcium phostphate (β-TCP) in orthopedic surgery. Methods: Medical records of 49 patients, consisting of 24 (49.0%) men and 25 (51.0%) women were retrospectively reviewed. Graft incorporation was evaluated based on Irwin's radiologic staging. Results: The explanatory power of the total regression equation in Irwin's stage at 3 months postoperatively according to three explanatory variables, namely graft tightness, age at diagnosis, and lesion volume, was 65.6%; the explanatory power of Irwin's stage at 6 months postoperatively according to two variables, namely lesion volume and graft tightness, was 32.9%; and the explanatory power of Irwin's stage at 9 months postoperatively for two variables, namely longitudinal lesion length and graft tightness in the total regression, was 30.8%. Conclusions: Graft tightness, lesion volume, age at diagnosis, and longitudinal lesion length are the common factors affecting graft incorporation.

Analysis of Medical and Korean Medical Services Utilization after Lumbar Surgery Patients: Using Health Insurance Review and Assessment Service's Patients Sample Data (요추수술 후 환자의 의과 및 한의과 의료기관 이용 행태 분석: 건강보험심사평가원 표본데이터를 이용하여)

  • Ye, Sung-ae;Kim, Nam-Kwen;Song, Yun-kyung
    • Journal of Korean Medicine Rehabilitation
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    • v.29 no.4
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    • pp.89-100
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    • 2019
  • Objectives We are going to analyze patient's medical and Korean medicine use trends after lumbar surgery, and examine the percentage of use of Korean medicine after surgery and its relevance to the medical care outcome after lumbar surgery. Methods Using 3% patients' sample data of the Health Insurance Review and Assessment Service, two groups were compared the treatment progress of the Korean Medicine treatment group and the untreated group after lumbar surgery by hierarchical logistic regression analysis. After hierarchical logistic regression analysis(including propensity scores), two groups were compared after lumbar surgery, the Korean Medicine treatment group within 50days and untreated group within 50days. Results Lumbar surgery was performed in 2750 patients in 2015. It was 3.72 that the risk(odds ratio) of finished treatment of patients treated without Korean Medicine, compared to patients with Korean Medicine. It was 0.12 that the risk of continuing treatment(odds ratio) of patients treated with Korean Medicine within 50 days, compared to patients treatment more than 50 days. Conclusions The ratio of Korean Medicine treatment after lumbar surgery was 14.8%. The group that did not have Korean Medicine showed a higher possibility of treatment termination than the group who did not. Among the groups treated with Korean Medicine, the early treatment group was more likely to end treatment than the late treatment group. Considering various situations in the medical environment, further studies such as prospective studies and long-term data analysis are considered to be necessary.

Effectiveness of Arch Support Taping is Subjects With Excessive Foot Pronation: A Meta-analysis

  • Park, So-yeon
    • Physical Therapy Korea
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    • v.26 no.4
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    • pp.70-76
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    • 2019
  • Background: An excessive pronated foot is defined as a flattening or complete loss of the medial longitudinal arch. Excessive foot pronation is considered to have high risk factors of overuse injuries in the lower limb. Various treatments have been investigated in attempts to control excessive pronation. Objects: This meta-analysis identifies the effects of an anti-pronation taping technique using different materials. Methods: The electronic databases used include MEDLINE, the Physiotherapy Evidence Database (PEDro), Science Direct, the Korean Studies Information Service System (KISS), the Research Information Sharing Service (RISS), the Korea National Library, and the Korean Medical Database (studies published up to July 31, 2019). The database search used the following keywords: "foot drop" OR "foot arch" OR "foot pronation" OR "flat foot (pes planus)" AND "taping" OR "support." Eight eligible studies were analyzed to determine the effectiveness of anti-pronation taping in study and control groups. Results: The overall random effect size (Hedges'g) of the anti-pronation taping technique was 0.147 (95% confidence interval [CI]: -.214 to .509). When the effect (Hedges' g) was compared by the type of tape material, rigid tape (RT; Lowdye taping) was .213 (95% CI: -.278 to .704) and kinesiotape (KT; arch support taping) was -.014 (95% CI: -.270 to .242). Based on this meta-analysis, it was not possible to identify the extent to which anti-pronation taping was effective in preventing navicular drop, improving balance, or changing foot pressure. Only three of the eight eligible studies applied KT on excessive pronated feet, and the outcome measure areas were different to those of the RT studies. The KT studies used EMG data, overall foot posture index (FPI) scores, and rear foot FPI scores. In contrast, the RT studies measured navicular heights, various foot angles, and foot pressure. Conclusion: This review could not find any conclusive evidence about the effectiveness of any taping method for patients with pronated feet. Future studies are needed to develop the anti-pronation taping technique based on the clinical scientific evidence.

An Evaluative Study on Communication Enhancement Program through Social Network Service of Older Adults in the Community (노인의 SNS 활동을 통한 소통증진 프로그램에 대한 평가연구)

  • Shin, Ji Won;Kwon, Ji Sung
    • Korean Journal of Family Social Work
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    • no.58
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    • pp.151-179
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    • 2017
  • The purpose of this study was to evaluate the communication enhancement program through Social Network Service(SNS) of older adults in the community. This program was mainly designed for improving self-efficacy of older adults and enhancing their communication in the community by using SNS. This program was composed of several sub-programs; understanding the value of communication, meeting with SNS users, SNS education and practice, having activities with SNS, promoting SNS, holding public rehearsals and starting ceremony, and having off-line meeting. This study applied analytical framework based on logic model of systems theory, collected data from the subject group, and evaluated the sub-programs on dimensions of process and outcome. The results showed that this program has an effect on improving self-efficacy through participating SNS activities, enhancing communication through boosting SNS, creating new culture for older adults, and changing attitudes between generations. Based on these results, the practical guidelines for expanding the communication enhancement program through SNS, leading by older adults in the community, were suggested.

Association between Korean Medicine Hospital Utilization and Cardiovascular Risks in Patients with Hypertension: a National Korean Cohort Study (고혈압 환자에서 한방의료기관 이용과 심혈관 위험 요소와의 관계: 국민건강보험공단 표본코호트 DB)

  • Cho, Hyunjoo;Jung, Hyejin;Lim, Sabina
    • The Journal of Korean Medicine
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    • v.40 no.3
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    • pp.1-20
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    • 2019
  • Objectives: This study aims to investigate the effects of Korean Medicine Hospital Utilization (KMHU) on major adverse cardiovascular events (MACE), myocardial infarction (MI), stroke, and death in hypertensive patients taking antihypertensives. Methods: Using the Korean National Health Insurance Service-National Sample Cohort database, this study identified and diagnosed 68,457 hypertensive patients taking antihypertensives between 2003 and 2006. They were divided into KMHU and non-KMHU groups. The follow-up period ended with the diagnosis of myocardial infarction, stroke, or death. After propensity score matching (PSM), there were 18,242 patients each in the non-KMHU and KMHU groups. We calculated the incidence rate, hazard ratio (HR), and 95% confidence interval (CI) for MACE, myocardial infarction, stroke, and death in patients with hypertension using a stratified Cox proportional hazard model. In addition, secondary outcome analyses for stroke and cardiovascular mortality were performed. Results: After PSM, the HRs for MACE (HR: 0.84, 95% CI: 0.81-0.87), all-cause mortality (HR: 0.75, 95% CI: 0.72-0.79), and myocardial infarction (HR: 0.90, 95% CI: 0.83-0.97) were significantly lower in the KMHU group than in the non-KMHU group. Moreover, the HRs for stroke-related mortality, haemorrhage and ischaemic stroke-related mortality, and ischaemic heart disease-related and circulatory system disease-related mortality were significantly lower in the KMHU group than in the non-KMHU group. Conclusions: On long-term follow-up observation, this study supported the effect of KMHU for managing hypertension and reducing the burden of cardiovascular diseases.

Jeju Animal Shelter abandoned animals status and actual condition analysis (제주동물보호소 유기동물 현황 및 실태분석)

  • Oh, Myoungoon;Ko, Kyoung Bo;Cho, Seong Cheol;Ko, Jin-A;Ryu, YounChul
    • Korean Journal of Veterinary Service
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    • v.44 no.4
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    • pp.175-183
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    • 2021
  • This study investigated the status and analyzed of stray dogs, stray cats admitted to the Jeju Animal Shelter during the year of 2015 to 2019, and the infection rates of specific diseases for abandoned dogs. In addition, in 2017 to 2019, the collected intake and outcome data were reviewed to analyze shelter capacity in terms of housing capacity (monthly daily average intake, required holding capacity, and adoption-driven capacity), staff capacity (staff hours required for daily care). Out of 24,557 dogs admitted to the shelter, owners of 1,808 dogs (7.4%) visited the shelter and found their lost dogs, while 3,612 dogs (14.7%) were adopted to new families. However, the number of puppies that were euthanized was the highest at 12,266 (49.9%), and 6,876 (28%) died either death from disease or natural causes because they were detained in shelters. The monthly daily average (MDA), which is one of the indicators for efficient population management of Jeju Animal Shelter, was found to be 17.4 for abandoned dogs and 1.7 for abandoned cats. Seasonal variations were observed for MDA, RHC, MDA adoptions, ADC, and RSDC, indicating that various strategies are needed for shelter management. This study was performed to analyze and interpret meaningful statistics for improving the efficiency of animal shelters in Jeju. However, inconsistent collection of animal statistics limited data compilation. Creation of a basic animal statistics matrix with reference to well-designed matrices from recognized professional animal shelters is essential.

An Exploratory Health Outcome Analysis of Lumbar Surgery Patients Utilizing Korean Medical Services: Using Health Insurance Review and Assessment Service-National Patients Sample (HIRA-NPS 2019) Data (건강보험심사평가원 환자표본 데이터 분석을 통한 한의 의료 이용 요추 수술 환자의 탐색적 성과 분석)

  • Hye-Yoon Lee;Namkwen Kim;Yun-kyung Song
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.17 no.2
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    • pp.131-139
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    • 2022
  • Objectives This study aimed to analyze the medical utilization of low back pain (LBP) patients after back surgery and estimate the medical costs of Korean and Western medicine collaborative treatment, odds ratio, and hazard ratio between the two groups using the 2019 Health Insurance Review and Assessment Service-National Patient Sample (HIRA-NPS-2019). Methods Data management and descriptive analysis, logistic regression, and survival analysis were conducted for defining and estimating the LBP patients after back surgery in the NPS 2019 dataset. Results A total of 216,424 patients out of 991,189 were identified as having LBP. Among the patients with LBP, 1,734 were treated with surgery while 214,690 were not. Among those who had surgery, 937 were treated with conventional treatments only and 797 underwent Korean medicine treatments. The odds ratio of the logistic regression analysis was 0.7129, suggesting that Korean medical treatment experience group had a 28.7% lower risk of reoperation than the Western medical treatments only group. The hazard ratio of the survival analysis was 0.9145; thus, the risk probability of reoperation was estimated to be approximately 8.55% lower. The 50% risk of reoperation was 69 days (0.5044) for the conventional group, and 97 days (0.5008) for the Korean medical group in the survival analysis using the Kaplan-Meier graph. Conclusions These results could be utilized in future studies in conducting economic evaluation for estimating cost-effectiveness of Western medicine and Korean medicine treatment compared to Western medicine alone in LBP patients after back surgery in a South Korean perspective. mended and should be applied while taking the necessary precautions.