• Title/Summary/Keyword: Criteria of Quality Management

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Technology-based self-management interventions for women with breast cancer: a systematic review

  • Hae Jeong An;Sook Jung Kang;Goh Eun Choi
    • Women's Health Nursing
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    • v.29 no.3
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    • pp.160-178
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    • 2023
  • Purpose: Since technology-based interventions can facilitate convenient access to healthcare for women with breast cancer, it is crucial to understand innovative approaches to maintaining the effectiveness of these interventions. Therefore, we conducted a systematic review of technology-based self-management interventions for women with breast cancer in six countries. We analyzed the characteristics of these interventions and examined their diverse health outcomes. Methods: Six databases were systematically searched to extract research articles using the keywords "breast cancer," "technology," and "self-management." The search was carried out up until June 12, 2023. From the 1,288 studies retrieved from the database search, 10 eligible papers were identified based on inclusion/exclusion criteria. Two authors independently extracted and compared the data from these articles, resolving any discrepancies through discussion. Results: Most of the 10 studies utilized web- or mobile-based technology, and one used artificial intelligence-based technology. Among the 12 health-related outcome variables, quality of life and symptom distress were the most frequently mentioned, appearing in six articles. Furthermore, an analysis of the intervention programs revealed a variety of common constructs and the involvement of managers in the self-management intervention. Conclusion: Incorporating key components such as self-management planning, diary keeping, and communication support in technology-based interventions could significantly improve the self-management process for breast cancer survivors. The practical application of technology has the potential to empower women diagnosed with breast cancer and improve their overall quality of life, by providing timely and sustainable interventions, and by leveraging available resources and tools.

A Study on the Improvement in Spatial Planning of Orphanage Facilities (아동양육시설의 공간계획 개선에 관한 연구)

  • Yoo, Myoung-Hee
    • Korean Institute of Interior Design Journal
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    • v.21 no.1
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    • pp.228-239
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    • 2012
  • This study aims to propose the improvement direction of spatial organization of orphanage facilities by reflecting the international trend of child welfare facilities including 'enhancement of habitability', 'opening to the local community' and 'multi-functionality' on the basis of ideas of 'right of housing' and 'normalization'. Orphanage facilities are evolving from 'facilities' to accommodate unfortunate children to the concept of the 'community-care', and the residential space is also rapidly shifting to 'cottage' type resembling a residential type of ordinary family so as to enhance the self-esteem and relationship. To suggest the future-oriented changeability of current orphanage facilities, the present study conducted a nationwide survey of child welfare facilities and four Visiting researches of cottage type orphanage with different locations to investigate the appropriateness of housing type, organization of common use space, mode of management and facilities criteria. The results of this study are following: 1) For enhancement of habitability it is suggested that cottage type with various plans in the form of ordinary housing is appropriate, that the number of children per cottage is six or so, and that the number of less than two or three children per room is recommended. At the same time the adjustment of facilities criteria, simplified or complex, is suggested to support a similar residence pattern to ordinary home. 2) Specialized programs must be introduced to establish a base of welfare-network for community children according to features of location and a complex management must be sought in the connection with neighboring public facilities. 3) To secure the residential environment and quality of life for children, the concept of a simple playground space by the current facilities criteria must be broken away to reinforce the network of various outdoor spaces closely connected with living space.

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Stability of the offshore large purseiner in Korea (한국 근해 대형 선망 어선의 복원성)

  • Ham, Sang-Jun;Kang, Il-Kwon;Kim, Hyung-Seok;Jo, Hyo-Jae;Kim, Jung-Chang
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.47 no.3
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    • pp.241-247
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    • 2011
  • Marine casualties of vessel are said to be in most case caused by human error, but it would be valid for the assumption that the ship is built with high quality and then should be acceptable to the safety standards. It means that the inherent characteristics of a ship should be the first consideration on the safety of ship. Therefore it is basically necessary for navigator to grasp the inherent stability of his ship and ensure that the ship complies with the minimum statutory standards of stability. This study is to realize the stability of the Korean offshore large purseiner varying with loading conditions by the inclining data and some calculations. The author compared the stability of the ship with IMO criteria and domestic rule, and proposed some improvement for the safety of the ship. The results are summarized as follows ; The values of GM of the ship according to the loading condition in navigation satisfy both of the IMO criteria and the domestic rule, but in case of the area under the GZ curves between the heel angles of $30^{\circ}$ and $40^{\circ}$, and the heel angle occuring the maximum righting lever not satisfy the IMO rule at the fishing ground departure and arrival conditions in the haul in net situation. The initial metacentric height of the ship is very large, but the range of stability and the occurring angle of the maximum GZ are very small, so even small inclining can bring about the beam end. The best method of improvement for that is to increase the freeboard of the model among the variables.

A Study of Six Sigma and Total Error Allowable in Chematology Laboratory (6 시그마와 총 오차 허용범위의 개발에 대한 연구)

  • Chang, Sang-Wu;Kim, Nam-Yong;Choi, Ho-Sung;Kim, Yong-Whan;Chu, Kyung-Bok;Jung, Hae-Jin;Park, Byong-Ok
    • Korean Journal of Clinical Laboratory Science
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    • v.37 no.2
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    • pp.65-70
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    • 2005
  • Those specifications of the CLIA analytical tolerance limits are consistent with the performance goals in Six Sigma Quality Management. Six sigma analysis determines performance quality from bias and precision statistics. It also shows if the method meets the criteria for the six sigma performance. Performance standards calculates allowable total error from several different criteria. Six sigma means six standard deviations from the target value or mean value and about 3.4 failures per million opportunities for failure. Sigma Quality Level is an indicator of process centering and process variation total error allowable. Tolerance specification is replaced by a Total Error specification, which is a common form of a quality specification for a laboratory test. The CLIA criteria for acceptable performance in proficiency testing events are given in the form of an allowable total error, TEa. Thus there is a published list of TEa specifications for regulated analytes. In terms of TEa, Six Sigma Quality Management sets a precision goal of TEa/6 and an accuracy goal of 1.5 (TEa/6). This concept is based on the proficiency testing specification of target value +/-3s, TEa from reference intervals, biological variation, and peer group median mean surveys. We have found rules to calculate as a fraction of a reference interval and peer group median mean surveys. We studied to develop total error allowable from peer group survey results and CLIA 88 rules in US on 19 items TP, ALB, T.B, ALP, AST, ALT, CL, LD, K, Na, CRE, BUN, T.C, GLU, GGT, CA, phosphorus, UA, TG tests in chematology were follows. Sigma level versus TEa from peer group median mean CV of each item by group mean were assessed by process performance, fitting within six sigma tolerance limits were TP ($6.1{\delta}$/9.3%), ALB ($6.9{\delta}$/11.3%), T.B ($3.4{\delta}$/25.6%), ALP ($6.8{\delta}$/31.5%), AST ($4.5{\delta}$/16.8%), ALT ($1.6{\delta}$/19.3%), CL ($4.6{\delta}$/8.4%), LD ($11.5{\delta}$/20.07%), K ($2.5{\delta}$/0.39mmol/L), Na ($3.6{\delta}$/6.87mmol/L), CRE ($9.9{\delta}$/21.8%), BUN ($4.3{\delta}$/13.3%), UA ($5.9{\delta}$/11.5%), T.C ($2.2{\delta}$/10.7%), GLU ($4.8{\delta}$/10.2%), GGT ($7.5{\delta}$/27.3%), CA ($5.5{\delta}$/0.87mmol/L), IP ($8.5{\delta}$/13.17%), TG ($9.6{\delta}$/17.7%). Peer group survey median CV in Korean External Assessment greater than CLIA criteria were CL (8.45%/5%), BUN (13.3%/9%), CRE (21.8%/15%), T.B (25.6%/20%), and Na (6.87mmol/L/4mmol/L). Peer group survey median CV less than it were as TP (9.3%/10%), AST (16.8%/20%), ALT (19.3%/20%), K (0.39mmol/L/0.5mmol/L), UA (11.5%/17%), Ca (0.87mg/dL1mg/L), TG (17.7%/25%). TEa in 17 items were same one in 14 items with 82.35%. We found out the truth on increasing sigma level due to increased total error allowable, and were sure that the goal of setting total error allowable would affect the evaluation of sigma metrics in the process, if sustaining the same process.

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A Study on Evaluation of Water Quality Measurement Network in the Nakdong River Tributary Using TOPSIS (TOPTSIS를 이용한 낙동강 지류에서의 수질측정망 평가 연구)

  • Kal, Byungseok;Park, Jaebeom;Kim, Seongmin;Shim, Kyuhyun;Shin, Sangmin;Choi, Suyeon
    • Journal of Wetlands Research
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    • v.24 no.1
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    • pp.44-51
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    • 2022
  • In this study, TOPSIS(Techniques for Order Performance by Similarity to Ieal Solution) was used to evaluate the installation points of water quality monitoring networks in 34 streams of the Nakdong River watershed. The Nakdong River System has been measuring water quality and flow in 195 local streams since 2011. In particular, the 34 key management points are areas with many pollutants and poor water quality, requiring continuous water quality management. For the selection of points requiring management, 10 indicators were selected for evaluation, and the selected indicators were standardized and weighted using the entropy method. As a result of weight calculation, the presence or absence of a nearby measuring network received the greatest weight, and the average water quality and presence of an industrial complex obtained the highest weight. The evaluated data are judged to be the research results necessary for the establishment of a new water quality measurement network in the Nakdong River system and continuous water quality management in tributaries.

Development of Forest Thinning Evaluation Factors using the Analytic Hierarchy Process (AHP를 이용한 숲가꾸기 사업종별 평가지표 중요도 산정)

  • Park, Joowon;Cho, Seungwan;Jung, Geonhwi;Kim, Bomi;Woo, Heesung;Lee, Yohan
    • Journal of Korean Society of Forest Science
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    • v.109 no.3
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    • pp.350-360
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    • 2020
  • The purpose of this study was to identify and prioritize the key indicators and drivers of forest thinning. The research for this study was designed in two-phases: 1) sequential, exploratory, mixed methods research that was initiated with a qualitative phase (Delphi technique), and 2) the quantitative phase (Analytic Hierarchy Process technique). Results indicated that management and planning were the most important factors in the first level of criteria among the "management and planning," "directing and monitoring," "supervision," and "quality of thinning work." On the sub-criteria level, "the quality of forest management planning" was indicated as the most important factor among the ten sub-criteria. Our results have shown that the developed forest thinning evaluation factors were a well-represented characteristic for a variety of forest thinning work in Korea.

The Allocation Precedence of the Limited Same Resource to the Concurrent Activities under Multiple Criteria (다기준하 동일 한정 자원의 배당 우선순위 결정)

  • Hwang, Jin-Ha
    • Korean Journal of Construction Engineering and Management
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    • v.9 no.5
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    • pp.159-167
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    • 2008
  • This study provides a effective approach to the construction management problem with the limited number or amount of available resources using the analytic hierarchy process. Construction management is a series of decision making processes for planning and controling of cost, time and quality as main objectives in construction works. When several activities need the limited same resource at the same time, it is very hard to decide the priority of the activities in the real situations. For that the scientific decision making method and procedure for resource allocation are required. This study solves the resource allocation problem by dealing with the decision making problem which the activities are distributed to multiple projects and under multiple criteria. The analytic hierarchy process is a method devised to solve complex multi-criteria decision problems. The result shows that this study can be effectively used to make decisions in situations involving multiple objectives by evaluating the prioritized ranking and degree of the activity alternatives based on the overall preferences.

Determination of First Flush Criteria in Highway Stormwater Runoff using Dynamic EMCs (동적 EMC를 이용한 고속도로 초기우수 처리 기준 산정)

  • Kim, Lee-Hyung;Lee, Eun-Ju;Ko, Seok-Oh;Kim, Sung-Gil;Lee, Byung-Sik;Lee, Joo-Kwang;Kang, Hee-Man
    • Journal of Korean Society on Water Environment
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    • v.22 no.2
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    • pp.294-299
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    • 2006
  • The Ministry of Environment in Korea has introduced Total Pollution Load Management System (TPLMS) in major 4 large rivers to protect the water quality from possible pollutants. In order to successfully achieve the TPLMS, the nonpoint source should be controled by applying the best management practices in highly polluted areas. Of the various nonpoint sources, the highways are stormwater intensive landuses because of its high imperviousness and high pollutant mass emissions. The EMC (Event Mean Concentration) is an important parameter to correctly determine the pollutant mass loadings from nonpoint sources. However, it has wide ranges because of various reasons such as first flush phenomenon, rainfall and watershed characteristics. Even though the EMC is closely related to the first flush phenomenon, the relationship have not proven until present. Therefore, in this paper, the dynamic EMC method will be introduced to clearly make the relationship between EMC and first flush phenomenon. Also by applying the dynamic EMC method to monitored data, we found that the highly concentrated stormwater runoff was washed off within 20~50 minutes storm duration. The first flush criteria for economical treatment was also determined to 5~10 mm (mean=7.4 mm) as a cumulative rainfall.

An Analysis of the Conditions for Construction Supervision Fee (책임감리 용역 대가의 실태 분석 연구)

  • Choi, Sun-Hee;Choi, Hye-Mi;Lee, Jae-Young;Kim, Young
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • 2007.11a
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    • pp.283-288
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    • 2007
  • As constructions are changing variously from the size and efficiency, the role of supervision services tend to reach beyond mere monitoring or supervision to prevent fraudulence, but tend to extend toward a system that manages all the stages of the construction industry. There are growing demand to improve government operated corporation systems to secure high quality public facilities, and reviews on construction supervision system and supervision services roles, function, responsibility and obligations have been the topics among advanced researchers. However, the circumstance is that researches on the construction supervision service compensation and supervision services assignment criteria that serve as basis of such construction supervision system improvement are insufficient, and for practical development of construction supervision system, researches on construction supervision service compensation and supervision services assignment criteria will need to precede. Hence, this research purports to propose improvement directions of construction supervision system by deducing problems through condition survey on the construction supervision services ordered by public organizations.

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Solid tumors in childhood: risk-based management (소아 고형종양 - 위험군에 따른 맞춤 치료 -)

  • Koo, Hong Hoe
    • Clinical and Experimental Pediatrics
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    • v.50 no.7
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    • pp.606-612
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    • 2007
  • Since the introduction of chemotherapy for the treatment of childhood leukemia more than 50 years ago, the results of childhood cancer have improved dramatically. The 5-year survival rate of disease, many of which were uniformly fatal in the prechemotherapy era, reached to more than 75%. This remarkable improvement in survival is a direct result of the incorporation of chemotherapeutics into treatment regimens that previously relied only on surgery or radiotherapy for the primary tumor. The multimodality approach, which integrates surgery and radiotherapy to control local disease with chemotherapy to eradicate systemic or metastatic disease, has become the standard approach to treating most childhood cancers. The overall improvement in outcomes in childhood solid tumors has been related to the development of multidisplinary cooperative studies that has permitted the development of well-designed tumor treatment protocols characterized by uniform staging criteria, sharing informations in pathologic classification, uniform methods for tumor markers, oncogenes, and other biologic and genetic factors. Important advances in the biologic study of cancer and its genetic basis led to a number of observations that impact directly on the management of childhood solid tumors. Identification of specific genes, oncogenes, tumor markers, and other biologic and pathologic factors plays an important role in both staging and clarifying the risk categorization of individual patients. Treatment of the patient is influenced by the recognition of specific risk factors. This knowledge has resulted in a change in the approach to care based not only on staging criteria, but also on risk-based management. This concept uses various risk factors of outcomes. Risk-based management allows for each patient to maximize survival, minimize long-term morbidity and improve the quality of life, especially for children's growth and development.