• 한국산업융합학회 논문집
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• 제27권5호
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• pp.1019-1026
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• 2024

Paramedics are highly likely to be exposed to high levels of stress and emotional exhaustion. Emotional exhaustion arises from excessive workload and sustained tension, negatively impacting not only individual mental health but also job performance. This study aims to investigate the level of emotional exhaustion among paramedics. A survey was conducted among fire officials across various regions in South Korea, analyzing the degree of emotional exhaustion by gender, age, years of service, and position. The analysis revealed statistically significant differences in emotional exhaustion based on age, years of service, and position among fire officials, with paramedics showing higher levels of emotional exhaustion compared to rescue, fire suppression, and internal administrative positions. Notably, younger age groups, shorter years of service, and paramedic positions were associated with higher levels of emotional exhaustion. This study contributes to assessing the level of emotional exhaustion among paramedics and exploring specific measures for mental health recovery, ultimately aiming to improve work efficiency and enhance the quality of emergency medical services. Future research should focus on developing concrete support systems and stress management programs to continuously monitor and improve the mental health of paramedics.

• 한국의료질향상학회지
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• 제3권1호
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• pp.104-124
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• 1996

Background : In these days, the health care organizations have concerned about customer-centered care in order to empower the competitiveness on the health care markets. The departments working for quality management of the hospitals have used health care quality indicators in terms of medical areas as well as service areas of the hospitals. However, there were insufficient efforts to develop the credible measurement to seek the customers' needs, their expectations and their satisfaction levels related to health care services because various kinds of challenges were in the process of scale development to measure customers' satisfaction in health care. The purpose of this study was to develop the satisfaction scale to health care services in a Korea health care organization and to test its tool with validity and reliability. Method : The concept of this tool was acceptability that one of the components of health care quality defined by Donabedian. Acceptability has the five dimensions of concept: Accessibility; Patient-Practitioner Relations; Amenities; Patient Preferences as to the effects of care; and Patient Preferences as to the costs of care. The Satisfaction Tool to Health Care Services was reviewed by expert panel with five researchers, including hospital managers and a professor related to quality management of the hospitals. As a result, the content validity index was .84 in the outpatient satisfaction tool. The inpatient satisfaction tool had .87 of the content validity index. The Satisfaction Tools to Health Care Services finally consisted of 44 items for outpatients/their families and of 60 items for inpatients/their families. Study subjects of the construct validity test were 479 outpatients/their families and 561 inpatients/their families who visited or admitted at a University hospital from July 1, 1996 through August 10, 1996. The data were examined by Factor Analysis with SPSS. Result : The items of Satisfaction tools for outpatients/their families were categorized by eleven factors with eigenvalue greater than 1.0 accounting for 64.2 percent of the variation in item scores. Also, the items of inpatient tool had eleven factors with eigenvalue greater than 1.0 accounting for 60.3 percent of the variation in item scores. The reliability of overall scale were .95 and .96 for the outpatients/their families satisfaction scores and inpatient/their families satisfaction scores. The internal consistency reliability with eleven factors was ranged from .30 to .94 for inpatients/their families. The Satisfaction Tool with eleven factors for inpatients/their families had internal consistency reliability ranged from .53 to .89. Conclusion : The Satisfaction Tools to Health Care Services focused on outpatients/their families and inpatients/their families developed in this study had a high reliability and the strong evidence of content validity and construct validity based on quality concept. Therefore, this tool would be utilized as a credible quality indicator of health care services to assess the quality problems and to monitor the quality improvement activities in Korean Health Care Organizations.

• 디지털융복합연구
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• 제12권1호
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• pp.149-161
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• 2014

경제 선진화에 따라 GDP중 서비스 산업의 비중은 점점 커지고 있다. 서비스 산업 발전은 고용 문제 해결과 내수 시장의 활성화를 유도하며, 의료, 교육, 문화 등의 수요 창출, 제조업의 경쟁력 강화 및 경제 전반에 발전을 기여할 것이다. 정보통신 기술의 발전과 그에 따른 삶의 질 향상, 그리고 글로벌 무한 경쟁 등 경쟁 환경 변화 등으로 기업, 공공 기관 등의 소비자 또는 고객의 욕구는 날로 증대되고 있다. 이러한 환경 속에서 기업 등은 고객과의 소통, 고객 불만 처리, 신규 고객 유치 및 유지 등의 목적으로 비대면 접점인 콜센터를 운영하고 있다. 본 연구는 비대면 접점인 콜센터의 성과 제고를 위하여 서비스 및 프로세스 개요, 업무 성과 평가, 콜센터 평가 등에 관한 연구를 통하여 문제점을 분석하고 콜센터의 '서비스 프로세스 모델링' 및 향후 정책과제를 도출하고자 한다.

• 대한암한의학회지
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• 제25권1호
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• pp.11-24
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• 2020

Objective : Radiodermatitis is a common sequelae in 95% of patients receiving radiation therapy, which is important to be well managed as it can affect the patient's quality of life as well as the cancer treatment schedule. The aim of this study is to review and summarize the interventions available for the treatment of acute radiodermatitis, including traditional Korean medicine, and to propose treatment algorithms for clinicians. Methods : To collect studies about managements for radiodermatitis, domestic and foreign database were used such as Korean journal of traditional knowledge portal (KTKP), Korean studies information service system (KISS), national discovery or science leaders (NDSL), and oriental medicine advance searching integrated system (OASIS), Pubmed, Google scholar and Scopus. Results : Thirty-two studies were selected. There were nine studies on usual care and dressing, eleven studies on chemical agents, two studies on biological preparations, and ten studies on herbal medicines. Conclusion : Hygienic options and dressings have proved to be useful in the management of radiodermatitis. Chemical agents such as corticosteroid, statin, and topical antibiotic agent have proved to alleviate symptoms and severity, regenerate damaged skin, and prevent secondary infection. In biological preparations, EGF (epidermal growth factor) and GM-CSF (granulocyte-macrophage colony-stimulating factor) could be used to protect skin and prevent radiodermatitis. For herbal medicines, Calendula, catechin, β-sitosterol, and Jaungo (紫雲膏) may be effective for symptoms including pain, itching, and burning sensation induced by radiation therapy. Because of some research with conflicting results, further studies are needed to propose an algorithm for more optimal treatments.

• 대한한방내과학회지
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• 제45권4호
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• pp.549-567
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• 2024

Objectives: This study was aimed at evaluating the effectiveness and safety of Danggui buxue decoction (DBD) for iron deficiency anemia (IDA) by systematic review and meta-analysis of the randomized controlled trials (RCTs). Methods: Randomized controlled trials on the treatment of DBD for IDA patients were selected from among the literature published from the beginning of each database to May 30, 2023 in nine domestic and foreign databases (PubMed, EMBASE, Cochrane, Chinese Academic Journals (CAJ), CiNii Research, J-STAGE, Oriental Medicine Advanced Searching Integrated System (OASIS), Research Information Sharing Service (RISS), and ScienceON). The quality of the literature was evaluated using the Cochrane ROB tool 2.0 (ROB2) and GRADE method. The meta-analysis was conducted using RevMan5.4. Results: A total of 636 patients with IDA were finally selected from the 7 RCTs. The meta-analysis showed that the treatment groups that underwent both DBD and conventional treatment were statistically higher than the control groups that performed only conventional treatment in all indicators that showed effectiveness of DBD such as red blood cell (mean difference (MD) 0.38×10¹²/L, 95% CI: 0.16-0.60), hemoglobin (MD 12.45 g/L, 95% CI: 10.27-14.63), serum ferritin (MD 3.50 ㎍/L, 95% CI: 1.71-5.29), and total effective rate (relative risk (RR) 1.13, 95% CI: 1.05-1.21). The incidence of adverse events was 0.39 times lower in the DBD group than in the conventional group (RR 0.39, 95% CI: 0.22-0.70). Conclusion: This study demonstrated the effectiveness and safety of DBD with conventional treatment and further provided a basis for administering DBD to patients with IDA in clinical treatment.

• 패션비즈니스
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• 제18권4호
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• pp.168-179
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• 2014

Everyone has the desire to be well shaped. Modern people in the $21^{st}$ century utilize their external appearance as a tool to express their personalities and social activities for the improvement of cultural life and the acceleration of information transfer. The expression of beauty is a method of communication from the view point of creation in addition to the exchange of meaning & value, and it has become a method of image transfer due to the increased desire for a better appearance. The beauty industry was established in 1948 by the execution of the 1st hairdresser's license test, and has been developed in full scale through the enactment of the public health control act. Therefore, beauty education is currently qualitatively and quantitatively developed, and the educational role of the beauty institute has expanded to include training beauty professionals. Private beauty institutes provide students with beauty related education in preparation for the national technical qualification examinations or private beauty association tests. These beauty education opportunities enable aspiring beauticians to attend various beauty competition events and acquire a sense of accomplishment. The purpose of this study was to determine how the quality of the beauty educational institutes affects the re-registration rate, and to analyze the effect of the beauty educational institutes quality on the intention of re-registrations using a survey. The study results show that variables such as 'lecture satisfaction', 'internal environment satisfaction', 'facility satisfaction', and 'tuition satisfaction' are significantly related to the rate of re-registrations, with 'lectures satisfaction' especially having the largest influence on re-registration.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제8권9호
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• pp.3159-3176
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• 2014

This work presents an analysis of the buffer features of an access router, especially the size, the impact on delay and the packet loss rate. In particular, we study how these features can affect the Quality of Service (QoS) of multimedia applications when generating traffic bursts in local networks. First, we show how in a typical SME (Small and Medium Enterprise) network in which several multimedia flows (VoIP, videoconferencing and video surveillance) share access, the upgrade of the bandwidth of the internal network may cause the appearance of a significant amount of packet loss caused by buffer overflow. Secondly, the study shows that the bursty nature of the traffic in some applications traffic (video surveillance) may impair their QoS and that of other services (VoIP and videoconferencing), especially when a certain number of bursts overlap. Various tests have been developed with the aim of characterizing the problems that may appear when network capacity is increased in these scenarios. In some cases, especially when applications generating bursty traffic are present, increasing the network speed may lead to a deterioration in the quality. It has been found that the cause of this quality degradation is buffer overflow, which depends on the bandwidth relationship between the access and the internal networks. Besides, it has been necessary to describe the packet loss distribution by means of a histogram since, although most of the communications present good QoS results, a few of them have worse outcomes. Finally, in order to complete the study we present the MOS results for VoIP calculated from the delay and packet loss rate.

• 농업과학연구
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• 제45권4호
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• pp.601-614
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• 2018

Chitosan with a natural antimicrobial property has been introduced to protect horticultural crops from diseases as an environmentally friendly method. The purpose of this study was to investigate the effects of the pre-harvest application of chitosan on growth and quality during the late stage of fruit development and on the simulated marketing of the peach fruit (Prunus persica L.). The application of chitosan with calcium chloride ($100mg{\cdot}L^{-1}$) three times at one week intervals 4 weeks before the harvest significantly increased the fruit weight, changed the fruit shape, and reduced the fruit length/diameter ratio giving the peach fruits a round oblate shape. The calcium treatment contributed to enhancing or maintaining the storage potential by increasing the flesh firmness. However, at higher concentrations of $CaCl_2$, i.e., > $600mg{\cdot}L^{-1}$, the positive effects of the chitosan application were offset, and fruit growth was not affected by calcium alone. The application of the chitosan/calcium mixture delayed fruit softening; however, this effect was shortened when the storage temperature was $20^{\circ}C$ rather than $15^{\circ}C$. The internal quality of the fruit was profoundly affected by the concentration of calcium added to the chitosan, and delayed fruit maturation was observed at a higher concentration of calcium. The pre-harvest application of chitosan with calcium contributes to the enhancement of food safety by inhibiting the occurrence of diseases during postharvest handling. Considering the above results, chitosan has the potential to improve both the yield of peach fruits and their storability. Because chitosan can enhance the freshness and shelf-life of fresh produce, it is necessary to examine its effects on other horticultural crops.

• 대한한방내과학회지
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• 제42권3호
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• pp.340-350
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• 2021

Objectives: Hand-foot syndrome (HFS) is a common adverse effect of chemotherapy in cancer patients. This review synthesizes research results to assess the effect of traditional Korean medicine (TKM) on HFS in cancer patients. Methods: Four databases (PubMed, The Cochrane Central Register of Controlled Trials, Research Information Sharing Service, China National Knowledge Infrastructure) were searched for randomized controlled trials (RCTs) to assess the effects of TKM on HFS. The effects and quality of RCTs were assessed with the Cochrane risk of bias (ROB) tool. Results: Six RCTs met our study criteria. In all six, TKM showed improvement in HFS symptoms as well as quality of life scores when compared to the control group. However, the methodological quality of RCTs was relatively low due to the unclear or high ROB. Conclusions: TKM would be helpful to patients with HFS after chemotherapy. To clarify the clinical efficacy of TKM, well-designed studies are required in the future.

• 한국문헌정보학회지
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• 제40권1호
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• pp.335-351
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• 2006

도서관이 보다 효율적으로 운영되기 위해서는 도서관 내부의 강 약점과 외부의 기회 위협 요인 등을 파악하여 미래의 발생가능성을 예측하고, 이에 대응하기 위한 최적의 전략방안을도출하여 활용할 수 있어야 한다. 이에 본 연구는 전략경쟁분석기법의 하나로 각광을 받고 있는 SWOT 분석을 통하여 A대학교 도서관의 전략경쟁을 분석하였다. 본 연구를 통하여 얻어진 결론은 다음과 같다. 첫째, A대학교 도서관의 강점은 도서관 직원의 전문성 체계적인 업무추진 계획 및 분장 디지털도서관 구축에 따른 고품질의 서비스 제공이다. 둘째, A대학교 도서관의 약점은 가용자원(인력, 예산, 공간)의 부족, 미래의 도서관 운영계획 부재, 능동적인 서비스 마인드의 부족이다. 셋째 A대학교 도서관의 기회는 디지털 정보환경에 따른 새로운 도약, 외부기관 및 도서관과의 교류협력 확대, 도서관 개방을 통한 지역거점 도서관으로의 위상 제고이다. 넷째, A대학교 도서관의 위협은 학교 당국의 도서관에 대한 인식 부족, 급변하는 정보환경에 따른 이용자의 다양한 정보요구, 강화된 저작권법에 따른 도서관 서비스의 제한이다. 다섯째, A대학교 도서관의 경쟁력 강화방안은 디지털 전문 인력의 확보를 통한 디지털 서비스의 강화, 외부기관 및 도서관과의 교류협력 강화를 통한 확장 서비스의 제공. 강화된 저작권법에 따른 차별화된 서비스의 개발이다.