• 제목/요약/키워드: Service quality evaluation

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만성피로의 체계화된 한의학적 치료법 연구의 필요성 (Need for Development of Oriental Medicine-derived Systemic Treatments against Chronic Fatigue-associated Symptoms)

  • 조정효;손창규
    • 대한한의학회지
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    • 제30권4호
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    • pp.28-36
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    • 2009
  • Objectives: Fatigue is a prevalent symptom encompassing both acute and chronic manifestations. Most fatigue symptoms can be cured by taking a rest or removing underlying causes. However, chronic fatigue is frequently problematic due to its duration and effect on quality of life. There are no particularly effective therapies for chronic fatigue of unknown causes, and patients in Korea usually visit an Oriental clinic. This study aimed to analyze the current status of treatments and patients with chronic fatigue, and then map out of a strategy for development of generalized-treatments for chronic fatigue in Oriental Medicine. Methods: Clinical information related to chronic fatigue was selected from various different databases such as PubMed, KoreaMed, KStudy, DBPIA, OIM, and KOMS. Also, to understand current tendency of medical examination and treatment related with chronic fatigue, we requested Health Insurance Review & Assessment Service for clinical datum from 2003 to 2007. Results: The medical fees of National Health Insurance related with fatigue show an explosive year-on-year increase. On the other hand, it has been decreasing annually in the western medical fields. To take charge of clinical fields related with chronic fatigue by Oriental Medicine, we should make a unified diagnostic system. Then, we should also make standard evaluation tools and develop herbal drugs according to this unified diagnostic system. Conclusions: Fatigue-related symptoms will be a main target of Oriental medicine in the future. We expect that various studies related with chronic fatigue will be undertaken hereafter.

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History and Current Situation of River Management using Physical Habitat Models in the U.S. and Japan

  • Sekine, Masahiko
    • 생태와환경
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    • 제46권1호
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    • pp.10-17
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    • 2013
  • History of Instream Flow Incremental Methodology (IFIM) Following the large reservoir and water development era of the mid-twentieth century in North America, resource agencies became concerned over the loss of many miles of riverine fish and wildlife resources in the arid western United States. Consequently, several western states began issuing rules for protecting existing stream resources from future depletions caused by accelerated water development. Many assessment methods appeared during the 1960's and early 1970's. These techniques were based on hydrologic analysis of the water supply and hydraulic considerations of critical stream channel segments, coupled with empirical observations of habitat quality and an understanding of riverine fish ecology. Following enactment of the National Environmental Policy Act (NEPA) of 1970, attention was shifted from minimum flows to the evaluation of alternative designs and operations of federally funded water projects. Methods capable of quantifying the effect of incremental changes in stream flow to evaluate a series of possible alternative development schemes were needed. This need led to the development of habitat versus discharge functions developed from life stage-specific relations for selected species, that is, fish passage, spawning, and rearing habitat versus flow for trout or salmon. During the late 1970's and early 1980's, an era of small hydropower development began. Hundreds of proposed hydropower sites in the Pacific Northwest and New England regions of the United States came under intensive examination by state and federal fishery management interests. During this transition period from evaluating large federal reservoirs to evaluating license applications for small hydropower, the Instream Flow Incremental Methodology (IFIM) was developed under the guidance of the U.S. Fish and Wildlife Service (USFWS).

Performance Analysis of Co- and Cross-tier Device-to-Device Communication Underlaying Macro-small Cell Wireless Networks

  • Li, Tong;Xiao, Zhu;Georges, Hassana Maigary;Luo, Zhinian;Wang, Dong
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제10권4호
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    • pp.1481-1500
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    • 2016
  • Device-to-Device (D2D) communication underlaying macro-small cell networks, as one of the promising technologies in the era of 5G, is able to improve spectral efficiency and increase system capacity. In this paper, we model the cross- and co-tier D2D communications in two-tier macro-small cell networks. To avoid the complicated interference for cross-tier D2D, we propose a mode selection scheme with a dedicated resource sharing strategy. For co-tier D2D, we formulate a joint optimization problem of power control and resource reuse with the aim of maximizing the overall outage capacity. To solve this non-convex optimization problem, we devise a heuristic algorithm to obtain a suboptimal solution and reduce the computational complexity. System-level simulations demonstrate the effectiveness of the proposed method, which can provide enhanced system performance and guarantee the quality-of-service (QoS) of all devices in two-tier macro-small cell networks. In addition, our study reveals the high potential of introducing cross- and co-tier D2D in small cell networks: i) cross-tier D2D obtains better performance at low and medium small cell densities than co-tier D2D, and ii) co-tier D2D achieves a steady performance improvement with the increase of small cell density.

멀티플랫폼 환경에서 의료정보표준 기반 게이트웨이 설계 및 성능 평가 (Gateway design and performance evaluation based on health information standards in multi-platform environment)

  • 심우호;나현석;박석천
    • 한국컴퓨터정보학회논문지
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    • 제17권3호
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    • pp.33-40
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    • 2012
  • 최근 병원정보 시스템은 의료서비스의 질과 효율성을 제고하기 위해 스마트폰 및 태블릿 PC를 활용한 스마트 진료서비스가 대형병원을 중심으로 도입되고 있으며 개인의 진료정보를 PC, 스마트폰 등을 통해 관리하는 개인건강기록(PHR) 서비스에 대한 관심 및 기술개발이 활발히 진행 중에 있다. 이러한 차세대 병원정보 시스템을 구축하기 위해서는 상이한 병원정보 시스템 간의 데이터 연동과 다양한 사용자 기기 간의 UX 일관성이 보장되어야 한다. 따라서 본 논문에서는 이러한 멀티플랫폼 환경 하에서 의료정보를 통합하여 연동할 수 있는 게이트웨이 시스템을 설계하기 위해 개인의 진료정보 표준과 성능 향상을 위한 연구를 수행하였다. 본 연구를 통해 게이트웨이 시스템의 핵심 기능인 데이터 간의 매핑 방법에 있어서 CCR 표준을 적용하고 다중 테이블 기반 매핑 방법을 사용하여 시스템 설계를 하였다. 이에 대한 성능 평가를 위해 실험을 한 결과 응답속도가 약 20% 향상된 결과를 얻을 수 있었다.

오미자 첨가량에 따른 Demi-Glace 소스의 일반성분과 유리당 함량 및 관능적 특성 (The Proximate Composition, Free Sugars Contents and Sensory Characteristics of Demi-glace Sauce according to the Varying Quantity of Omija Added)

  • 김현덕
    • 동아시아식생활학회지
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    • 제14권6호
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    • pp.598-607
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    • 2004
  • This study was conducted to examine the sensory characteristics and the contents of proximate composition and the free sugars of the Demi-glace with varying quantity of Omija extracts added. First, the qualities of Demi-glace sauces with varying quantity of Omija extracts added are as follows: (1) Proximate composition: The moisture content was 66.10~73.50%, and crude ash content was 1.59~1.89%. As the Omija extracts added increased, moisture content increased, whereas crude ash content decreased. The crude protein content was 6.12~7.95%. Among them, the one with the 2% Omija added showed the highest level of the crude protein. (2) Free sugars contents: In terms of total sugar contents, the control showed 1.32% and Omija sauces showed 1.44~1.55%. Major free sugars analyzed in the order of fructose, oligosaccharide, glucose and sucrose. Second, the results of sensory evaluation of Demi-glace sauces with the different levels of Omija added are as follows: (1) The preference of Demi-glace sauces according to occupation: Students and Cooks liked the one with the 2% Omija added in terms of color, flavor, taste, texture and overall acceptability. Cooks showed higher preference than students. (2) The preference of 5 tastes: It was found that Demi-glace sauce with the 2% Omija added was the best. The one with the 2% Omija added was suitable in terms of sweet taste and bitter taste and the one with the 3% Omija added was desirable for hot taste and saline taste. In terms of sour taste, the one with 1% Omija added was regarded as the most desirable one. (3) The preference for authentic tastes for Demi-glace sauce: In terms of simple taste, females showed higher preference than males. Demi-glace sauce with the 2% Omija added was found to be the best for savory taste, flavor enhancer taste, simple taste, after taste and overall acceptability. The one with the 1 % Omija added was regarded as the best for soft taste.

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우주 시스템의 신뢰성 예측에 관한 연구 (A Study on the Reliability Prediction for Space Systems)

  • 유승우;이백준;진영권
    • 항공우주기술
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    • 제5권2호
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    • pp.227-239
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    • 2006
  • 신뢰성 예측은 설계안 중 하나를 선택하거나, 적용되는 부품의 품질 수준, 부하경감(derating) 정도, 기존의 입증기술 또는 최신기술의 채택여부 등과 같은 사항을 설계시 결정하는 데에 합리적인 근거를 제공할 수 있으므로, 우주 시스템의 개발과정에 있어서 필수적인 사항으로 인식되고 있다. 신뢰성의 정량적인 표현을 위해서는 수치적인 정보와 그 정보를 생성하기 위한 기법의 정확성이 확보되어야 하며, 설계에 대한 평가를 돕고, 신뢰성 요구조건 할당, 시정조치 우선순위 결정 등의 기초자료로 적용하기 위하여 개념설계 초기 단계에서부터 수행되어야 한다. 대상품의 설계, 환경 요구조건, 운용환경 데이터, 고장률 데이터 또는 운용 프로파일의 변경이 발생할 때마다 업데이트되어야 한다. 본 논문에서는 우주시스템 개발과정에서 수행되는 신뢰성 예측을 위한 세부절차, 정량적 데이터의 도출 및 적용기법 등에 대하여 검토하였다.

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WBAN 환경에서 Weighted Fair Queuing 기반의 GTS 타임 슬롯 할당 알고리즘 (Algorithm of GTS Time Slots Allocation Based on Weighted Fair Queuing in Environments of WBAN)

  • 김경목;정원수
    • 한국컴퓨터정보학회논문지
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    • 제16권11호
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    • pp.45-56
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    • 2011
  • WBAN은 사람이 착용하는 옷이나 인체 내부 혹은 외부에 있는 여러 장치들을 상호 연결하여 통신할 수 있는 근거리 무선통신 기술이다. WBAN은 기술 적용 분야에 따라 의료용과 비의료용으로 구분할 수 있으며, 주기적인 특성을 가진 의료용 데이터의 경우 GTS 방식을 사용해서 데이터를 전송하여 QoS를 보장한다. 본 논문에서는 WBAN 슈퍼프레임 구조에서 GTS 방식으로 데이터를 전송시 부족한 GTS 타임 슬롯을 해결하는 알고리즘을 제안한다. 코디네이터는 디바이스의 데이터 전송률에 따라 GTS 타임 슬롯을 가변적으로 할당하며, GTS의 개수가 부족하면 GTS 타임 슬롯을 공유하여 사용하도록 할당한다. 제안한 기법의 성능평가를 위해 지연한도와 처리량을 비교하였다. 즉, WBAN 환경에 적합한 WFQ(Weighted Fair Queuing) 스케줄링을 적용하여 상이한 데이터 전송률을 지원하면서 GTS를 할당하는 방법을 제안하였고, 라운드로빈(Round Robin) 스케줄링 방법과 비교하여 처리량은 증가하면서 최대 지연이 감소함을 알 수 있다.

호텔주방 인적자원관리 방안에 관한 연구 -서울지역 특급호텔 중심으로- (A Study on Human Resources Management for Hotel Kitchen)

  • 엄영호
    • 한국조리학회지
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    • 제7권2호
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    • pp.25-48
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    • 2001
  • Since 1998 IMF economic crisis, hotel companys have made an operation innovation in generally to reinforce a competitive power. Never ther less, a structural depression with high expense of costs-low degree of efficiency and high price of commodities-low degree of growth during the last few years. And hotel companys were doing endeavor for conquer this depression with reshuffle of the personnal system and that systematizing an enterprise and production control. Hotel has more increase personnel expenses percents than increase sold price percents so that hotel reducing cook and as result, hotel has a problem from production selling of foodservice because that is insufficient of cook man power. On studying this research, an importancy of cusine department in inquire hotel and an efficiency man power control of cusine department influence on hotel marketing were made use of analysis for hotel kitchen management. The result of this study is like that. First, the quality of a hotel employee is directly related to that of hotel service, which is functioned as a principle factor on which success or failure of tie hotel very largely depends, Second, fair evaluation of merits. Third, cognition for job as expert. Fourth, the roles and competences of the employees were affected much by the inner or outer environmental changes surrounding the hotel enterprises. Fifth, do not underestimate an intelligent ability and will power of employee, and hotel company have to manage that the employees consult themselves about their things of department and improve with the master sense for job. Sixth, pay increase and intensive system. This system can raise the will to achievement for employee's job, and company can get many benefits from government. Seventh, the employees should be encouraged to have memberships of academic organizations, to actively participate in academic meetings, workshops, conferences, and forums in the area of job performance.

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병원 종합 물류시스템 운영에 대한 관련직원들의 인식 (A Study of the Employee's Attitude Toward Operation of the Hospital Material Requirements Planning System(HMRPS) in University Hospitals)

  • 이광용;유승흠;손태용
    • 한국병원경영학회지
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    • 제4권2호
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    • pp.266-285
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    • 1999
  • The purpose of this study is to identify influencing factors for successful introduction, implementation and management of HMRPS through assessment of the employees attitude toward HMRPS in technical, administrative, and organization behavioral areas. Data were collected from 157 HMRPS employee members' self-reporting questionnaire in three university hospitals in the city of Seoul and Kyonggi Province from November 5 to November 10, 1997. Relevant literature on industry company MPR system theory was reviewed to develop the theoretical framework. The results were as follows: The employee's recognition of tangible benefit were more significantly influenced success than intangible benefit for successful operation relating the HMRPS. Concerning the employee's recognition of the successful HMRPS and the factor of influenced success was significantly positive correlation between tangible and intangible benefits and success factor in technical, administrative, and organizational behavior area. This study showed that major factor affecting the employee's recognition of tangible and intangible benefit for successful HMRPS. For tangible benefits; Success factors in the technical areas were quality of the data and information, efficiency of inventory management and rescheduling of operation plan. Success factors in the administrative areas were: role of top management. Success factors in the organization behavioral areas were; simplicity of the HMRPS, human resistance to change. For intangible benefits; Success factors in the organization behavioral areas were; user involvement, simplicity of HMRPS, human resistance to change. Futhermore as the exact evaluation of successful factors of HMRPS implement is needed, research for the development of systemic variables of physical distribution system control, methods, capacity of system, duration and other environment in many of 30 hospitals or more, and for the empirical study for HMRPS.

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가정용 무선 호흡기류 및 요속신호 계측 시스템 개발 (Development of Wireless Respiratory Air Flow and Urinary Flow Measurement System for Home Healthcare)

  • 차은종;이인광;이유미;한순화;한정수;서재원;박찬식;김경아
    • 전기학회논문지
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    • 제61권9호
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    • pp.1350-1357
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    • 2012
  • Medical system for personal health management recently changes its paradigm from hospital service to self home care based on ubiquitous technology for healthcare anywhere at any time. The present study developed a wireless bio-signal measurement system for patients to self manage pulmonary disease and benign prostate hyperplasia(BPH), both of which are chronic diseases with increasing frequency in modern society. Velocity-type respiratory air flow transducer adapted to develop respiratory module for pulmonary disease management was simplified in structure to measure uni-directional flow since most important diagnostic parameters are evaluated on the expiratory flow signal only. Standard weight measurement technique was introduced to obtain urinary flow signal for BPH management. Three load cell signals were acquired for averaging to minimize noise, followed by accuracy evaluation. Transmission and receiver modules were also developed with user program for wireless communication. Averaged relative errors were 2.05 and 1.02% for respiratory volume and maximal flow rate, respectively, and the relative error was 2.17% for urinary volume, demonstrating that both modules enabled very accurate measurements. Wireless communication distance was verified within 15m, long enough for home care application. The present system allows the user to select a necessary measurement module on a particular health demand and to immediately provide the self-test results, thus better quality health care would be possible.