• Title/Summary/Keyword: trust assessment

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An Exploratory Study on the Meaning of 'the Patient Trusts the Doctor' (의사-환자 관계에서 '환자가 의사를 신뢰한다'의 의미 고찰)

  • Kim, Min-Jeong
    • The Journal of the Korea Contents Association
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    • v.17 no.6
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    • pp.415-423
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    • 2017
  • Patient's trust in their physician is crucial for relationship between patients and their doctors, treatment outcomes such as satisfaction and adherence or revisits. The purpose of this study is to investigate the meaning of trusting the doctor in the doctor - patient relationship and to examine it through the multidimensional measurement tools. Using the convenience sampling method, 328 respondents in their 20s or older who had visited the hospital within 6 months were used as the analysis data. As a result of the research, it is difficult to define the meaning of the patient's trust in the doctor, but it can be summarized as having at least four meanings. First, the doctor should listen carefully to the patient's story and show communication behaviors expressing interest and forming an atmosphere of dialogue. Second, the patient's health should be considered first to understand the patient and empathize with the patient. Third, it should be honest in the examination and procedures related to the treatment as well as the technical ability. Finally, we should try to cooperate with patients.

Analysis of the Influence of Factors Affecting the Relationship Continuity of Rural Experience Tour - Focusing on the Comparison between Men and Women - (농촌체험관광의 관계지속성에 미치는 요인들의 영향분석 - 남성과 여성의 비교를 중심으로 -)

  • Jeong, Sang sook;Yoon, Seong Soo;Song, Chang Seob;Maeng, Seung Jin
    • Journal of The Korean Society of Agricultural Engineers
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    • v.63 no.4
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    • pp.43-53
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    • 2021
  • The purpose of this study is to analyze the factor influencing in order to increase the intention to revisit rural experience tourism. 181 men and women who had experienced rural experience tourism were surveyed in a Self-Assessment Questionnaire. Some farming experience, life experience, cultural experience, and leisure experience were set as independent variables as representative programs of rural experience tourism, satisfaction and trust as mediated variables, and relationships as dependent variables. Here, the relationship is regarded as a variable representing the intention to revisit. When performing multi-group path analysis by separating men and women, both men and women had a statistically significant positive (+) effect in the Leisure experience→Satisfaction path and the Trust→Relation path. In addition, the paths that were statistically significant for women were not statistically significant, but were statistically significant only for men were Farm experience→Satisfaction path, Farm experience→Relation path, and Leisure experience→Relation path. In addition, the paths that were not statistically significant for men, but statistically significant for women were Culture experience→Satisfaction and Trust→Satisfaction. According to this study, in order to increase the intention to revisit, both men and women should consider leisure experience. And men should emphasize farming experience, while women should emphasize cultural experience. It is considered that there is a need to further subdivide leisure experience, farming experience and cultural experience for the region. This study has a limitation of only 181 people. More large-scale research will be possible in the future.

The Medial Sural Artery Perforator Flap versus Other Free Flaps in Head and Neck Reconstruction: A Systematic Review

  • Yasser Al Omran;Ellie Evans;Chloe Jordan;Tiffanie-Marie Borg;Samar AlOmran;Sarvnaz Sepehripour;Mohammed Ali Akhavani
    • Archives of Plastic Surgery
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    • v.50 no.3
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    • pp.264-273
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    • 2023
  • The medial sural artery perforator (MSAP) flap is a versatile fasciocutaneous flap, and yet is less commonly utilized than other free flaps in microvascular reconstructions of the head and neck. The aim is to conduct a high-quality Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA)- and Assessment of Multiple Systematic Reviews 2 (AMSTAR 2)-compliant systematic review comparing the use of the MSAP flap to other microvascular free flaps in the head and neck. Medline, Embase, and Web of Science databases were searched to identify all original comparative studies comparing patients undergoing head and neck reconstruction with an MSAP flap to the radial forearm free flap (RFFF) or anterolateral thigh (ALT) flap from inception to February 2021. Outcome studied were the recipient-site and donor-site morbidities as well as speech and swallow function. A total of 473 articles were identified from title and abstract review. Four studies met the inclusion criteria. Compared with the RFFF and the ALT flaps, the MSAP flap had more recipient-site complications (6.0 vs 10.4%) but less donor-site complications (20.2 vs 7.8%). The MSAP flap demonstrated better overall donor-site appearance and function than the RFFF and ALT flaps (p = 0.0006) but no statistical difference in speech and swallowing function following reconstruction (p = 0.28). Although higher quality studies reviewing the use of the MSAP flap to other free flaps are needed, the MSAP flap provides a viable and effective reconstructive option and should be strongly considered for reconstruction of head and neck defects.

Development of Assessment Indicators and System for Ecotourism Designation (생태관광 지정제 도입을 위한 평가지표 및 체계 개발)

  • Choi, Hee-Sun;Kim, Hyun-Ae
    • Journal of Environmental Impact Assessment
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    • v.21 no.1
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    • pp.185-199
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    • 2012
  • Ecotourism has been attracting much attention as an example industry that can vitalize local economy markets and preserve natural resources. Implementation of 'Ecotourism Designation System' is under consideration to provide ecotourism products that can both emphasize the original meanings of ecotourism and ensure stronger trust from customers than ever before. This research introduced the direction, principles, subjects, and assessment indicators by subjects in terms of implementing the system and proposed fundamentals for both designation assignment and score calculation. In the face of implementing such a system in Korea, the investigation sought subjects whose target areas and programs are in need of examination. For assessment criteria by subjects, six assessment indicators were selected in the end for ecotourism sites, including: (1) the value of natural/ecological preservation (2) facility's ecological design (3) understanding both the environment and local culture (4) systems connecting local communities for cooperation (5) long/short term preservation and maintenance strategies/plans (6) willingness to further develop ecotourism and cooperative platform. In addition, seven assessment indicators were selected for program assignments, including: (1) the value of natural/ecological preservation (2) minimization of environmental effects (3) expansion of environmental understanding (4) sharing the local culture (5) vitalizing local connections and economical activities among communities (6) securing and maintaining professionality among human resources (7) odds of continuation, creativity, and aptness to improve programs. After considering the pros and cons of both categorizing system and yes/no system, implementation of categorizing system for the short term and yes/no for the long term were suggested, followed by additional suggestions of a score calculation system for each system. The official implementation of the 'Ecotourism Designation System' is scheduled for launch in 2013 after the trial operation in 2012. The assessment indicators and fundamentals suggested in this research, considering judgment, must be improved via systematic and practical methods through the trial operation.

Development of a regulatory framework for risk-informed decision making

  • Jang, Dong Ju;Shim, Hyung Jin
    • Nuclear Engineering and Technology
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    • v.52 no.1
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    • pp.69-77
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    • 2020
  • After the Fukushima Daiichi accidents, public concerns on nuclear safety and the corresponding burden of nuclear power plant licensees are increasing. In order to secure public trust and enhance the rationality of current safety regulation, we develop a risk-informed decision making (RIDM) framework for the Korean regulatory body. By analyzing all the regulatory activities for nuclear power plants in Korea, eight action items are selected for RIDM implementation, with appropriate procedures developed for each. For two items in particular - the accident sequence precursor analysis (ASPA) and the significance determination process (SDP) - two customized risk evaluation software has been developed for field inspectors and probabilistic safety assessment experts, respectively. The effectiveness of the proposed RIDM framework is demonstrated by applying the ASPA procedure to 35 unplanned scrams and the SDP to 24 findings from periodic inspections.

Subjectivity Type Analysis Study of Single-person Households on Meal Kit Products of Food Service Industry (외식업체 밀키트(Meal Kit)상품에 대한 1인가구의 주관적 인식유형 분석연구)

  • Kim, Chan-Woo;Lee, Kang-Yeon
    • The Journal of the Korea Contents Association
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    • v.20 no.4
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    • pp.406-415
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    • 2020
  • This study applies Q methodology that can extract subjective opinion or recognition structure for each single household whose Meal Kit products developed and marketed by catering companies according to the demographic structure that changes socially. Implications were analyzed. As a result of subjective recognition type analysis in this study, four types were derived, and each type was named according to its specificity as follows. Type 1 (N = 6): Appearance Assessment Purchase Type, Type 2 (N = 6): Price Comparison Purchase Type, Type 3 (N = 10): Brand Trust Purchase Type, Type 4 (N = 2) : Easy Cooking Purchase Type was analyzed for each unique feature type. In this study, we analyzed the subjective opinion or recognition structure of single-person households whose Meal Kit products are the main demand groups, and suggested the direction and improvement measures for future food product development and launch for single-person households through the analysis by type. The purpose of this study is to provide academic implications based on the analysis results.

Study of the UK Pharmacy Education and the Pharmacy Registration Assessment: In England and Wales (영국의 약사교육체계와 국가면허 시험제도 연구: England 와 Wales지역을 중심으로)

  • Kim, Yun Jung
    • Korean Journal of Clinical Pharmacy
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    • v.25 no.2
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    • pp.61-67
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    • 2015
  • Pharmacy education and training is continuously evolving to meet the requirement from the society in the UK. Most pharmacy schools offer the Master of pharmacy degree which is a four year undergraduate programme followed by a year of pre-registration placement spanning a year supervised by a professional pharmacist who has at least 3 years' post-registration experience; however, some universities provide either a 5-year sandwich course where the pre-registration training is split up into two periods of 6 months or a 2-year OSPAP programme for those who are already qualified as a pharmacist outside of the UK. The GPhC has announced that the format of the registration assessment is set to change in 2016. The exam questions from 2016 will be more clinical, practical and based around a patient in a real-life scenario. This article addresses important aspects of UK pharmacy education such as university curriculum, training programme, and licence exam, therefore, could potentially offer a significant contribution to the debate about raising academic standards of pharmacy education in South Korea.

Characteristics of Women Who Have Had Cosmetic Breast Implants That Could Be Associated with Increased Suicide Risk: A Systematic Review, Proposing a Suicide Prevention Model

  • Manoloudakis, Nikolaos;Labiris, Georgios;Karakitsou, Nefeli;Kim, Jong B.;Sheena, Yezen;Niakas, Dimitrios
    • Archives of Plastic Surgery
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    • v.42 no.2
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    • pp.131-142
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    • 2015
  • Literature indicates an increased risk of suicide among women who have had cosmetic breast implants. An explanatory model for this association has not been established. Some studies conclude that women with cosmetic breast implants demonstrate some characteristics that are associated with increased suicide risk while others support that the breast augmentation protects from suicide. A systematic review including data collection from January 1961 up to February 2014 was conducted. The results were incorporated to pre-existing suicide risk models of the general population. A modified suicide risk model was created for the female cosmetic augmentation mammaplasty candidate. A 2-3 times increased suicide risk among women that undergo cosmetic breast augmentation has been identified. Breast augmentation patients show some characteristics that are associated with increased suicide risk. The majority of women reported high postoperative satisfaction. Recent research indicates that the Autoimmune syndrome induced by adjuvants and fibromyalgia syndrome are associated with silicone implantation. A thorough surgical, medical and psycho-social (psychiatric, family, reproductive, and occupational) history should be included in the preoperative assessment of women seeking to undergo cosmetic breast augmentation. Breast augmentation surgery can stimulate a systematic stress response and increase the risk of suicide. Each risk factor of suicide has poor predictive value when considered independently and can result in prediction errors. A clinical management model has been proposed considering the overlapping risk factors of women that undergo cosmetic breast augmentation with suicide.

A Scalability based Energy Model for Sustainability of Blockchain Networks (블록체인 네트워크의 지속 가능성을 위한 확장성 기반 에너지 모델)

  • Seung Hyun Jeon;Bokrae Jung
    • Journal of Industrial Convergence
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    • v.21 no.8
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    • pp.51-58
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    • 2023
  • Blockchains have recently struggled to design for the ideal distributed trust networks by solving scalability trilemma. However, local conflicts between some countries lead to imbalance on energy distribution. Besides, blockchain networks (e.g., Bitcoin) currently consume enormous energy for transaction and mining. The existing data volume based trust model evaluated an increasing blockchain size better than Lubin's trust model in scalability trilemma. In this paper, we propose a scalability based energy model to evaluate sustainability for blockchain networks, considering energy consumption for transaction, time duration, and the blockchain size of growing blockchain networks. Through the rigorous numerical analysis, we compare the proposed scalability based energy model with the existing model for the satisfaction and optimal blockchain size. Thus, the scalability based energy model will provide an assessment tool to choose the proper blockchain networks to solve scalability trilemma problem and prove sustainability.

The Empirical Study on the Effects of the Team Empowerment caused by the Team;Based Organizational Structure in KBS (팀제가 팀 임파워먼트에 미치는 영향에 관한 연구;KBS 팀제를 중심으로)

  • Kim, Hong;Ahn, Dong-Su
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.1 no.1
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    • pp.53-70
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    • 2006
  • This study aims to provide policy suggestions on how to implement the process of empowerment, by investigating the conditions that hinder the process and the attitude of the KBS employees. For the cross-sectional study, this thesis examined the domestic and international references, conducted a survey of KBS employees, personal interviews and made direct observations. Approximately 1,200 copies of the questionnaire were distributed and 474 were completed and returned. The analysis used SPSS 12.0 software to process the data collected from 460 respondents. The survey findings showed a decrease of 24.2%p in the number of responses expressing negative views of the team structure and a decrease of 1.29%p in the number of positive responses. The findings indicated a positive transformation illustrating employees' improved understanding and approval of the team structure. However, KBS must address the issue on an ongoing basis. It has been proven that the employee empowerment increases the productivity of the individual and the group. In order to boost the level of empowerment, the management must exercise new, innovative leadership and build trust between the managers and the employees first. Additional workload as a result of shirking at work places was prevalent throughout all divisions and ranks, according to the survey data. This outcome leads to the conclusion that the workload is not evenly distributed or shared. And the data also showed the employees do not trust the assessment and rewards system. More attention and consideration must be paid to the team size and job allocation in order to address this matter; the present assessment and rewards system need to be complemented. The type of leadership varies depending on the characteristics of the organization's structure and employees' disposition. KBS must develop and reform its own management, leadership style to suit the characteristics of individual teams. Finally, for a soft-landing of KBS team structure, in-house training and education are necessary.

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