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Factors Affecting Unmet Medical Care in Elderly Hypertensive Patients

  • Jang, Hye young
    • Journal of the Korea Society of Computer and Information
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    • v.26 no.11
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    • pp.201-208
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    • 2021
  • The purpose of this study is to investigate factors affecting unmet medical care in elderly hypertensive patients. The purpose of this study was to understand the reasons for unmet medical care in elderly hypertensive patients over 65 years of age and to identify the characteristics of each type to improve the medical use system and to contribute to policy making so that unmet medical care does not occur. Using data from the 7th period of the National Health and Nutrition Examination Survey (2016, 2017), 23 sample households were selected using the phylogenetic extraction method among appropriate households and analyzed using the SPSS 18.0 Program. As a result of the study, the unmet medical care of those who had suicidal thoughts compared to those who had not had suicidal thoughts in the past year, when females were higher than males, had worse subjective health status, those who did not subscribe than those who had private insurance, and those who had smoked in the past year. The experience rate was high. This is considered to be able to contribute to improving the medical service system and making policy decisions so that unmet medical care does not occur in the future.

Privacy-preserving Customized Order Service Protocol based on Smart Contract in Smart Factory (프라이버시를 제공하는 스마트 컨트랙트 기반의 스마트 팩토리 주문제작 프로토콜)

  • Lee, YongJoo;Woo, Sung-Hee;Lee, Sang-Ho
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.23 no.2
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    • pp.215-222
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    • 2019
  • Advances in technologies about 3D (three-dimensional) printing and smart factory related issues will have the effect of reducing the cost of building a smart factory and making various types of service available. Manufacturers and service providers of small assets work with outside experts to provide small amounts of customized ordering services. If customers have to disclose their private information to subscribe to a new service, they may be reluctant to use it and the availability of developed technology may cause slow progress. We propose a new protocol for customized order service for smart factory. The proposed approach is designed to meet requirements of security and based on smart contract in IoT convergence network. We analyzed the requirements of the proposed approach which provided anonymity, privacy, fairness, and non-repudiation. We compared it with closely related studies to show originality and differences.

A Study on the Responses to the Change of Health and Medical Finance and Sustainability of the Influencing Foreigners (외국인 유입에 따른 보건의료재정 변화 및 지속가능성 제고를 위한 대응방안 연구)

  • Jung, YongJu
    • Korea Journal of Hospital Management
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    • v.25 no.4
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    • pp.38-47
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    • 2020
  • Purposes: The problem in the recent immigration policy and social policy changes for foreigners is that the preliminary analysis or research on the actual impact of the influx of foreigners has not been done enough in Korea yet.. This study is to examine the impact of the Korean health insurance finances on the influx of foreigners. Approach: This study analyzed the health insurance statistics for foreigners and overseas Koreans of the Health Insurance Corporation from 2013 to 2017. The data is the "Status of Health Insurance Premiums for Nationals, Foreigners, and Overseas Koreans from 2013 to 2017" submitted by the National Health Insurance Service to the Health and Welfare Committee during the 2018 National Audit Period. Findings: To summarize the analysis, first, the proportion of foreigners was only 1% of all subscribers (1.7% at work, 1.9% in regions) until 2017. Second, employees at work have a lower pay-to-pay ratio, and local subscribers have a higher pay-to-pay rate, regardless of nationality. Third, as immigrants are mostly concentrated in younger ages, they are healthy and use of hospitals is relatively low. Fourth, in terms of gender distribution, there are many women of childbearing age due to marriage immigration among foreign local subscribers, and more men use hospitals than workers who have a high proportion of males due to childbirth. In conclusion, the impact of immigration on health insurance finances is not large, and has a positive effect on finances. Practical Implications: If we simply consider the financial aspect, encouraging foreigners to subscribe to health insurance has a positive effect on finances. In particular, the more foreign workers are enrolled, the greater the financial gain. In particular, increasing the employment of foreign women through language education, vocational training, and employment support will help finance health insurance. One of the reasons foreign subscribers have a positive impact on health insurance finance is the low medical utilization rate. It can be said that young and healthy foreigners use fewer hospitals and clinics, but another aspect means that foreigners have difficulty using health insurance for various reasons. Therefore, various supports must be accompanied so that foreign subscribers can use medical services when necessary.

A Secure Subscription-Push Service Scheme Based on Blockchain and Edge Computing for IoT

  • Deng, Yinjuan;Wang, Shangping;Zhang, Qian;Zhang, Duo
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.16 no.2
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    • pp.445-466
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    • 2022
  • As everything linking to the internet, people can subscribe to various services from a service provider to facilitate their lives through the Internet of Things (IoT). An obligatory thing for the service provider is that they should push the service data safely and timely to multiple IoT terminal devices regularly after the IoT devices accomplishing the service subscription. In order to control the service message received by the legal devices as while as keep the confidentiality of the data, the public key encryption algorithm is utilized. While the existing public encryption algorithms for push service are too complicated for IoT devices, and almost of the current subscription schemes based on push mode are relying on centralized organization which may suffer from centralized entity corruption or single point of failure. To address these issues, we design a secure subscription-push service scheme based on blockchain and edge computing in this article, which is decentralized with secure architecture for the subscription and push of service. Furthermore, inspired by broadcast encryption and multicast encryption, a new encryption algorithm is designed to manage the permissions of IoT devices together with smart contract, and to protect the confidentiality of push messages, which is suitable for IoT devices. The edge computing nodes, in the new system architecture, maintain the blockchain to ensure the impartiality and traceability of service subscriptions and push messages, meanwhile undertake some calculations for IoT devices with limited computing power. The legalities of subscription services are guaranteed by verifying subscription tags on the smart contract. Lastly, the analysis indicates that the scheme is reliable, and the proposed encryption algorithm is safe and efficient.

A Survey of Application Layer Protocols of Internet of Things

  • bibi, Nawab;Iqbal, Faiza;Akhtar, Salwa Muhammad;Anwar, Rabia;bibi, Shamshad
    • International Journal of Computer Science & Network Security
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    • v.21 no.11
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    • pp.301-311
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    • 2021
  • The technological advancements of the last two decades directed the era of the Internet of Things (IoT). IoT enables billions of devices to connect through the internet and share their information and resources on a global level. These devices can be anything, from smartphones to embedded sensors. The main purpose of IoT is to make devices capable of achieving the desired goal with minimal to no human intervention. Although it hascome as a social and economic blessing, it still brought forward many security risks. This paper focuses on providing a survey of the most commonly used application layer protocols in the IoT domain, namely, Constrained Application Protocol (CoAP), Message Queuing Telemetry Transport (MQTT), Advanced Message Queuing Protocol (AMQP), and Extensible Messaging and Presence Protocol (XMPP). MQTT, AMQP, and XMPP use TCP for device-to-device communication, while CoAP utilizes UDP to achieve this purpose. MQTT and AMQP are based on a publish/subscribe model, CoAP uses the request/reply model for its structuring. In addition to this, the quality of service provision of MQTT, AMQP, and CoAP is not very high, especially when the deliverance of messages is concerned. The selection of protocols for each application is very a tedious task.This survey discusses the architectures, advantages, disadvantages, and applications of each of these protocols. The main contribution of this work is to describe each of the aforementioned application protocols in detail as well as providing their thorough comparative analysis. This survey will be helpful to the developers in selecting the protocol ideal for their system and/or application.

The Effects of Perceived Netflix Personalized Recommendation Service on Satisfying User Expectation (지각된 넷플릭스 개인화 추천 서비스가 이용자 기대충족에 미치는 영향)

  • Jeong, Seung-Hwa
    • The Journal of the Korea Contents Association
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    • v.22 no.7
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    • pp.164-175
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    • 2022
  • The OTT (Over The Top) platform promotes itself as a distinctive competitive advantage in that it allows users to stay on the platform longer and visit more often through a Personalized Recommendation Service. In this study, the characteristics of the Personalized Recommendation Service are divided into three categories: recommendation accuracy, recommendation diversity, and recommendation novelty. Then proposed a research model which affects the usefulness of users to recognize recommendation services by each characteristics and leads to satisfaction of expectations. The result of conducting an online survey of 300 people in their 20s and 30s who subscribe Netflix shows that the perceived usefulness increased when the accuracy, variety, and novelty of Netflix's Recommendation Service were high. It was also confirmed that high perceived usefulness leads to satisfaction of expectations before and after Netflix use. The derived research results can confirm the importance of evaluating the personalized recommendation service in terms of user experience and provide implications for ways to improve the quality of recommendation services.

Communication Effect on Subscription Service : Focusing on Time Presentation Method and Subscription Type of Subscription Service (구독 서비스에 대한 커뮤니케이션 효과 : 구독 서비스의 시간 제시 방식과 구독 유형을 중심으로)

  • Tae-Eun Kim;Taehee Park
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.23 no.2
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    • pp.7-14
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    • 2023
  • As the consumption paradigm shifts from 'possession' to 'subscription', the subscription economy market is growing rapidly. The subscription economy is characterized by the fact that consumers can pay for and purchase products and services and use them limitedly for a limited time. Therefore, this study examined the effect of subjective perception of the time (duration) of consumers' subscription service use on subscription intention according to the time presentation method (duration/date) of subscription service use. In addition, the effect of differences in time presentation methods according to the type of subscription service (utility/hedonic) on subscription intention was examined. As a result of the study, the willingness to subscribe was higher when offering by date than when offering by date. In addition, for subscription services consumed for practical purposes, there was no difference in the effect on subscription intention according to the time presentation method. appeared to be Based on these results, the theoretical significance and practical implications of this study were presented.

Mobile Proxy Architecture and Its Practice: Mobile Multimedia Collaboration System (모바일 기기를 위한 프록시 구조와 모바일 멀티미디어 협업 시스템 적용예)

  • Oh, Sang-Yoon
    • Journal of the Korea Society of Computer and Information
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    • v.14 no.7
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    • pp.123-132
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    • 2009
  • The perforrnance and portability of mobile applications can be greatly increased by adopting proxy modiles which exists between the conventional system and the device. When mobile devices collaborate with the conventional computers, there are problems to address: a battery life problem, limited input and output methods, and intermittent wireless connection. Those issues are magnified in the multimedia collaboration environment since it works in a real-time condition and the size of the message in the system is big in many cases. Additionally, because multimedia collaboration system softwares are too heavy and complex for mobile devices, it is veη hard to integrate them with conventional systems. In this paper, we describe our design and its implementation of a novel approach to map events (i.e. messages) using a proxy for mobile applications. We adopt a proxy to provide a content adaptation (i.e. transcoding) where the message contents are customized. Also, we design a mobile version publish/subscribe system to provide communication service for mobile device in loosely coupled and flexible manner. We present our empirical results which show that our design can be efficiently implemented and integrated with a conventional multimedia collaboration system.

Integrity Guarantee System in IoT Virtual Environment Platform: Through Hyperedfger Indy and MQTT (IoT 가상환경 플랫폼에서의 무결성 보장 시스템:Hyperledger Indy와 MQTT를 통하여)

  • Yoosung Hong;Geun-Hyung Kim
    • Smart Media Journal
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    • v.13 no.4
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    • pp.76-85
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    • 2024
  • In this paper, we propose a system that improves the data integrity of IoT(Internet of Things) devices in the virtual environment by combining Hyperledger Indy and MQTT(Message Queuing Telemetry Transport). The system complements the limitations of the centralized system by realizing a DPKI(Decentralized Public Key Infrastructure) structure that utilizes a distributed network in publish-subscribe(pub/sub) pattern communication. Digital signature technology was applied to ensure the data integrity of IoT devices and communication scenarios between the four core components of the client, IoT device, broker, and blockchain, as well as a topic structure using a decentralized identifier to ensure safety in the virtual environment. We present a systematic method for transparent data exchange. To prove the performance of the proposed system, this paper conducted experiments on four scenarios and evaluated communication performance in a virtual environment. The experimental results confirmed that the proposed system provides a reliable IoT data communication structure in a virtual environment.

Customer and Sales Orientation of Franchising-Based Insurance Agent Format: Their Effects on Customer Trust, Identification, and Intention to Renewal Contract : focused on the social exchange theory (프랜차이즈 기반 보험설계사의 고객지향성과 판매지향성이 고객 신뢰, 일체감, 그리고 재계약의도에 미치는 영향: 사회교환이론을 중심으로)

  • Joon-Ho MOON;Yong-Ki LEE;Soon-Tae LEE
    • The Korean Journal of Franchise Management
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    • v.15 no.3
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    • pp.1-15
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    • 2024
  • Purpose: The insurance market is steadily growing, with General Agencies (GA) experiencing rapid sales increases. GAs need marketing strategies to boost contract renewal intentions by effectively managing customer relationships. This study examines the impact of perceived customer orientation and sales orientation on customer trust, identification, and renewal intentions with GA insurance planners. Research design, data, and methodology: The study surveyed customers who subscribe to insurance products from GA-affiliated insurance planners. Out of 615 respondents, 251 valid responses were analyzed using frequency analysis, measurement models, and structural equation modeling (SEM) with SmartPLS 4.0. Result: The study revealed that customer orientation positively affects cognitive trust and sense of identification. In contrast, sales orientation did not significantly impact customer trust or identification. Additionally, customer trust positively influences sense of identification, and both trust and identification positively affect the intention to renew the contract. Conclusions: Implementing a customer-oriented marketing strategy is essential for providing tailored customer management services and maintaining or improving the quality of customer relationships for insurance planners. Given that insurance products require long-term management, it is crucial for planners to build trust, enhance customer identification, and offer continuous customer management to meet customers' needs effectively.