• Title/Summary/Keyword: Service Review

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Hypofractionated whole breast irradiation: new standard in early breast cancer after breast-conserving surgery

  • Kim, Kyung Su;Shin, Kyung Hwan;Choi, Noorie;Lee, Sea-Won
    • Radiation Oncology Journal
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    • v.34 no.2
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    • pp.81-87
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    • 2016
  • Hypofractionated whole breast irradiation (HF-WBI) has been proved effective and safe and even better for late or acute radiation toxicity for early breast cancer. Moreover, it improves patient convenience, quality of life and is expected to be advantageous in the medical care system by reducing overall cost. In this review, we examined key randomized trials of HF-WBI, focusing on adequate patient selection as suggested by the American Society of Therapeutic Radiology and Oncology (ASTRO) guideline and the radiobiologic aspects of HF-WBI in relation to its adoption into clinical settings. Further investigation to identify the current practice pattern or cost effectiveness is warranted under the national health insurance service system in Korea.

Regulatory Problems in Radionuclide Therapy and Suggestions for Systematic Improvement (방사성동위원소 치료의 제도적 문제점과 개선)

  • Jeong, Jae-Min
    • Nuclear Medicine and Molecular Imaging
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    • v.40 no.2
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    • pp.53-57
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    • 2006
  • Radionuclide therapy has been used for more than 50 years and proved to be a safe and effective modality. However, the patients' right to have the excellent medical service is seriously disturbed by excessive regulations of government institutions such as Korea Institute of Nuclear Safety (KINS), Health Insurance Review Agency (HIRA) and Korea Food and Drug Administration (KFDA). For example, the patients should wait for more than 6 months to have I-131 treatment in many hospitals it is strongly recommended to mitigate the regulations to resonable levels to solve the problems. If HIRA allow the hospitals to charge reasonable rate for radionuclide therapy room, then more hospitals would invest to build the radionuclide therapy rooms and the patients' waiting time would decrease. The waiting time would also decrease, if KINS allow 2 patients to share a radionuclide therapy room. Finally, it is strongly recommended to lower the threshold for approval of new therapeutic radiopharmaceuticals by KFDA, which would allow new effective therapeutic raoiopharmaceuticals to be introduced to clinical practices more easily.

Consumer Engagement in Online Anti-BrandCommunities

  • Choi, Ejung Marina;Sung, Yongjun
    • Review of Korean Society for Internet Information
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    • v.14 no.1
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    • pp.8-28
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    • 2013
  • In a backlash against corporate branding and capitalism, a growing number of consumers are resisting current marketplace practices and big corporate brands. One particular form of this phenomenon is the emergence of anti-brand communities in social media. The current study, which surveyed a sample of 251 anti-brand community members on Facebook, provides a preliminary understanding of the characteristics and antecedents of anti-brand communities as a new platform for consumer empowerment and anti-brand activism. Findings suggest that consumers' engagement in online anti-brand communities, especially through social media, may be triggered by their negative experiences with employees, product quality, post-purchase service, and value/price. They are motivated, the results show, by seven primary factors: altruism, revenge, advice seeking, convenience, sympathy seeking, socialization, and the need to vent.

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A Panel Study on the Effect of Obesity and the Chronic Diseases on the Health Care Expenditures (비만과 만성질환이 의료비에 미치는 효과에 대한 패널분석)

  • Kim, Sang-Hyun;Sakong, Jin
    • Health Policy and Management
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    • v.25 no.3
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    • pp.152-161
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    • 2015
  • We analyze the determinants of obesity and the chronic diseases using the Korea Health Panel data. Also we analyze the effect of obesity and the chronic diseases on the health care expenditures. Through this study, to reduce the health care expenditures, we suggest the policy implication that might curb the obesity and the chronic diseases. We estimate the determinants of obesity, the chronic diseases, and the health care expenditures using 2SLS (two stage least squares) estimation method under the simultaneous equations framework. Result says that obesity and chronic diseases significantly have positive effects on the health care expenditures. Also the determinants of the health care expenditures that have positive effects are age, income and health care utilization variables.

Accreditation Criteria of Environmentally-Friendly Hospitals in the USA, UK and Australia (해외 친환경 병원 인증기준 고찰 : 미국, 영국, 호주를 중심으로)

  • Kang, Jung-Kyu;Seo, Young-Joon;Park, Hyun-Suk
    • Health Policy and Management
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    • v.20 no.4
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    • pp.139-169
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    • 2010
  • The purpose of this study is to compare accreditation criteria of environmentally-friendly hospitals in the USA, UK and Australia and find out the implications for Korean hospitals. The comparison was made in terms of 11 categories : sustainable site, water efficiency, energy & atmosphere, transportation, indoor environmental quality, health, material & resources, management, waste, innovation, and regional priority. Literature review of the study revealed that most of the environmentally-friendly hospitals have experienced such positive effects as cost saving, health promotion of patients & employees and good reputation etc. The study result implies that the following factors are so critical to settle environmentally-friendly hospitals in Korea: 1) CEO's interest & support, 2) education for employees, 3) efficient renovation of existing facility and 4) data accumulation on the effectiveness of environmentally- friendly hospitals by scientific methods.

IETF공개키 기반구조 및 PKI-기반 응용 표준화 동향

  • 염흥열
    • Review of KIISC
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    • v.14 no.2
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    • pp.23-37
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    • 2004
  • 지금까지 IETF에서 공개키 기반구조에 대한 표준화 작업은 PKIX 작업반$^{[5]}$에서 주로 수행되었지만, 최근 들어 4개의 새로운 작업반이 만들어졌다. 새로 생성된 작업반은 IPSEC을 위한 공개키 기반구조 표준을 개발하는 PK14IPSEC(PKI for IPSEC) 작업반$^{[36]}$, 장기간 서명 데이터의 존재와 디지털 서명된 데이터의 타당성과 존재성을 증명하기 위한 표준을 개발하고 있는 LTANS(Long-Term Archive and Notary Service) 작업반$^{[32]}$, 공개키/개인키와 인증서 등으로 구성되는 크리덴셜(Credential)을 획득하기 위한 등록 과정에 대한 모델을 표준화하기 위한 ENROLL(Credential and Provisioning) 작업반$^{[41]}$, 그리고 안전하게 크리덴셜을 한 장치에서 다른 장치로 안전하게 전달하기 위한 표준을 개발하는 SACRED(Securely available Credentials) 작업반$^{[28]}$ 등이다. 본 논문에서는 IETF 보안영역에서 수행되고 있는 공개키 기반구조에 바탕을 둔 여러 작업반에서 최근 수행중인 표준화 동향을 분석한다.

Distribution Channel Performance Measurement: Valid Measures From Customers' Perspective

  • Kim, Sang-Youl
    • Journal of Navigation and Port Research
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    • v.32 no.2
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    • pp.141-148
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    • 2008
  • This paper is structured into three main parts and a conclusion. The main section provide definitions of efficiency, effectiveness and performance in terms of the distribution channel, followed by a review of related performance measurement, before discussing difficulties of measurement. According to the theoretical approach, it appears that key theroretical issues are centered around customer service, logistics excellence, time compression, the use of IT, and a move towards integrated logistics. The empirical approach shows that in the past, various financial performance indicators were regarded as relevant management information. However, today, management needs additional performance indicators. Therefore, external assessments of effectiveness must be performed to measure customers' satisfaction with the physical flow of product through the distribution channel network. So, what is needed is to take previous normative and explorative research and progress through a framework by developing valid measures of distribution channel's effectiveness and efficiency, and identifying research methodologies suited to the data collection requirements.

A Study on the Operating Performance of Solar Assisted Hot Water System for Apartment Houses (공동주택용 태양열원 급탕시스템의 운전성능 연구)

  • 이윤규;황인주
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.15 no.11
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    • pp.928-936
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    • 2003
  • In the present study, feasibility investigation on the solar assisted hot water supply system for apartment houses was carried out by the review of service facility and heat load pattern. Also analysis and experiment of the small sized system model were performed. This hybrid system are consists of solar collector, heat storage tank, controller, and gas boiler using LPG as a secondary heat source. The analytical results showed a good agreement with experimental data. We found that this hybrid system could reduce the energy cost by 30% for hot water compared to typical boiler system in the apartment houses. Also we showed that this model could be used for the energy and economic analysis of the hybrid system.

Entrepreneurial Ecosystem - What Boosts Herders' Business Most in Mongolia?

  • Delgersaikhan, Amarjargal
    • STI Policy Review
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    • v.8 no.2
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    • pp.94-109
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    • 2017
  • Entrepreneurship is a creation of new combinations of goods and services. Today, every aspect of business operations has been changing, which we call development. The conventional business included production and manufacturing of goods and serving things the customer needed. Today, the business has changed form so that the demands of customers are shaped by the good or service which has been created by the businesses. Entrepreneurship in Mongolia is not a new concept but nowadays the number of entrepreneurs in Mongolia has grown sharply. Mongolia was a nomadic culture during its history and is probably the only nomadic culture left in the world today. Mongolian herders are the largest and the most powerful representation of successful entrepreneurs in Mongolia. Another practice of herders in the world are in Australia. Along with a comparison of the policy and government support system of Australia, this study intends to assess how 6 factors of the entrepreneurial ecosystem fit herders in Mongolia. As a result of this assessment, we propose policy to support the entrepreneurial mechanism of herders and identify cultural factors which support the existence of herding.

The dynamic spatial organization found in Ancient Roman architecture

  • Kim, Jin-Ho
    • Journal of Urban Science
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    • v.7 no.2
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    • pp.47-52
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    • 2018
  • The purpose of this study is to review and evaluate the proper planning for 2030 Incheon Urban Parks & Green Space Master Plan. Some of the plans are aimed at multiple small districts within the city's old town, as local governments are planned to be sub-subsidized by Incheon Metropolitan City. However, these plans have become simple plans for each district and therefore find it difficult to collect from the perspective of the using system of the residents who are directly used. First, the construction of the urban park and green space network requires the construction of a service using system that can be felt by the users. Second, the basic idea of each district planned as the detailed strategy of the master plan should be planned through consultation with nearby the district. Third, specific targets and directions for the urban park and green space plan through the urban development project are needed.