• Title/Summary/Keyword: Criteria of Quality Management

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THE USE OF DEEP SEDATION FOR THE DENTAL MANAGEMENT OF PEDIATRIC PATIENTS WITH DEFINITELY NEGATIVE BEHAVIOR (행동조절이 어려운 소아환자의 Deep sedation을 이용한 치과치료)

  • Um, Hye-Sook;Yoon, Hyung-Bae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.25 no.4
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    • pp.710-716
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    • 1998
  • It is one of difficulties to control children who show definitely negative behavior in dental clinic. In such a case, the pharmacologic management has been used to provide quality care, minimize the extremes of disruptive behavior, promote a positive psychologic response to treatment and patient welfare and safety. Deep sedation can be defined as a controlled, pharmacologically-induced state of depressed consciousness from which the patient is not easily aroused which may be accompanied by a partial loss of protective reflexes. In this retrospective report, the sedation records of 200 pediatric dental patients of ASA Class I & II who were not successfully treated under conscious sedation were used for analysis. Most frequently used regimen of deep sedation was the co-medication of midazolam(0.3mg/kg), enflurane(1.0-2.0 vol%) and 50-70% $N_2O_2$. The average age and weight of the patients was 4.6 yr (S.D: 2.72) and 18.7kg(S.D: 6.35) respectively. The average operative time was 52 minutes and midazolam (0.1-0.2cc) was additionally administered intranasally to prolong the operative time as needed. The episodes of untoward side effects were reported during and/or after the procedure in 58 patients. Serious adverse reactions such as cyanosis or laryngospasm were even reported in 7 patients but without mortality. Deep sedation is a very effective way of completing the dental treatments for those who failed to respond well to the conscious sedation. This technique has many practical advantages over general anesthesia case but the demands for the rigid monitoring criteria limit its use in general practice setting. The continuous efforts to improve the safety of the medication and the technique are required for the benefits of the patients and parent.

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A Priority Analysis of Excellent Agricultural R&D Performance Considering Region-wide Diffusion Effect (지역파급성을 고려한 농업R&D 우수성과 순위 분석)

  • Yun, Jin-Woo;Chae, Yong-Woo;An, Yong-jin;Kim, Seong-Sup
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.4
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    • pp.471-478
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    • 2020
  • This study aimed to suggest implications for the future development of agricultural R&D through a priority analysis of excellent agricultural R&D performance considering productivity, marketability, and effects on region, which are important factors of agricultural R&D evaluation. The subjects of analysis were R&D of Rural Development Administration (RDA), which was selected as national R&D excellent Performance from 2006 to 2018, and the priority was analyzed using Analytic Hierarchy Process (AHP). The results are as follows. First, the relative importance of the criteria decreased in the order of marketability(0.423) > regional impact(0.360) > productivity(0.216). Second, as a result of analyzing the relative importance of the sub-criteria, the possibility of commercialization(0.515) was high in the category of marketability. The possibility of technology expansion(0.538) was high in the category of effects on region and the quality improvement(0.464) was high in the category of productivity. Third, the excellent agricultural R&D performance that had high relative importance was the technologies associated with improving the agricultural competitiveness of horticultural crops.

The Comparison of Residents' Movement and Activities of Public Rental Apartments in Korea and the United States - Focused on the Comparison of SH Apartments and PHA Apartments - (한국과 미국 공공 임대아파트 거주자의 이동과 단지 내 활동 - 서울 SH공사 아파트와 미네소타 주 PHA 아파트의 비교를 중심으로 -)

  • Shin, Kyung-Joo;Jang, Sang-Ock
    • Journal of the Korean housing association
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    • v.19 no.2
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    • pp.1-10
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    • 2008
  • The purpose of this research is to compare residents' movement and activities in SH apartment in Yangcheon-Gu, Seoul (SH apartment) and PHA apartment in St. Paul, Minnesota (PHA apartment) in order to improve the quality of rental housing environment. This study had surveyed 418 residents of SH apartments in Korea and used the secondary data gathered from 1,462 residents of PHA apartments in the United States. The results of this study are as follows: The criteria of Korean residents in SH apartments when choosing their residences are lower rent payment and shorter waiting time. They seemed to have no other options than public rental housing. On the contrary, American residents in PHA apartment had more option to choose from. Therefore, Korea needs to offer more variety types of residents that can be lead to better satisfaction of low income classes. Most of the SH apartments residents has lived for long-term, in the average of more than 6 years, and wanted to live continually at their current dwelling. PHA residents showed similar tendency. However, long term residency may lead to permanent occupation of the public rental apartment by the same family. Hence, a system which can provide equal residency opportunities to all low-income classes need to be developed. Residents of SH apartment were satisfied with the personal activities but were not satisfied with group activities among residents or regarding resident meetings. However, residents of PHA apartments were more satisfied with their management because there is more in-housing-complex activity programs. Therefore, more activity program for a resident should be developed after analysing programs of different apartments and current conditions in Korea. There were some noticeable divergences among residents, based on their age, term of residence and physical, emotional and mental problem, when evaluating in-housing-complex's programs. Thus, these factors are also need to be considered when planning and examining evaluation about the management of rental apartments.

Evaluation of Elementary School Foodservice Menus on Its Contents and Diversity of the Food Served. (한국 초등학교 급식 식단의 영양가 및 식품 구성의 다양성 평가)

  • 정현주
    • Journal of Nutrition and Health
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    • v.30 no.7
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    • pp.854-869
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    • 1997
  • This study was conducted to evaluation the quality of meals served in elementary school based on nutrient contents and food diversity . A questionnaire was mailed to school foodservice dietitians requesting one week menus for April and October . Menus served in 388 schools from each province and from major cities in Korea were analyzed. Mean nutrient contents per meal of persons served, and food expenses per meal. Mean percentages of energy from fat was 20.2% , and was significantly l different by foodservice system. When nutrient contents were converted to amount per 1, 000kcal, all were higher than that calculated from RDA except calcium, iron, and Vitamin A. Most of these were not significantly different according to area, foodservice system, the number of persons served, and food expense per meal. Compared to 1/3 of RDA for children , many meals provided lower amounts of energy, Vit A, VitB2, and Ca. More than half of the meals provided less iron than 1/3 RDA for 10-12 years girls. Using the highest values of RDA for the elementary school age group as evaluation, criteria nutrient adequacy ratios(NAR) were lowest for Ca(0.61), Vit A(0.57), and iron(0.77). The mean adequacy ratio(MAR) was 0.86. Mean numbers of food items and dishes per meal were 15.3 and 5.1 , respectively. 66.3% of the meals provided three food groups of grain, meat, and vegetable. Except for the number of different food items served per meal, the aspect of food diversity was similar to that of nutrient contents. There was significant positive correlation between mean number of different food items served per meal and nutrient content . In summary , schools in small cities and rural areas than those in large cities, schools adapting commissary or joint management than those or density. Also the more food groups served per meal, the higher the nutrient content per meal . In summary , schools in small cities and rural areas than those in large cities, schools adapting commissary or joint management than those adapting conventional foodservice system, schools serving smaller number of persons, and schools with higher food expenses provided higher energy contents and food diversity.

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Water Quality Change Characteristics of Treated Water in Distribution System of Water Treatment Plant of Jeiu City (제주시 정수장 처리수의 급수과정별 수질변화 특성)

  • Han, Kyung-Yong;Lee, Min-Gyu;Chung, Ho-Jin;Kam, Sang-Kyu
    • Journal of Environmental Science International
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    • v.16 no.1
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    • pp.81-94
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    • 2007
  • The purpose of this work is to investigate the water quality change characteristics of treated water in water distribution systems of Water Treatment Plants (WTPs) of Jeju City. For this, the raw water, treated water and tap water that did not pass (named as not pass-tap water) and passed through the water storage tank (named as pass-tap water) were sampled and analyzed monthly from September 2001 to August 2002, for four (W, S, B and O) WTPs except for D WTP (where treated water is not supplied continuously) among WTPs of Jeju City. The concentrations of $NO_3^-$ and $Cl^-$ of treated water in distribution systems changed little, but changed seasonally, which is considered to be based on the seasonal variation of the quality of raw water. The pH of treated water changed little in distribution systems for S WTP, but for the other WTPs, the pH of not pass-tap water was similar to that of treated water and the pH of pass-tap water was higher than that of treated water. The turbidity of treated water in distribution systems changed little except for W2 of W WTP and S4 and S5 of S WTP, where it was higher than that of each treated water. The residual chlorine concentrations between treated water and not pass-tap water changed little, but those between treated water and pass-tap water changed greatly, based on the its long residence time in water storage tank and so its reaction with organic matter, etc or its evaporation. The concentrations of TTHMs (total trihalomethanes) and $CHCl_3$ that induce cancers in water distribution systems of these WTPs, were much lower than their water quality criteria and those in other cities. The concentrations of TTHMs of treated water and not pass-tap water were similar, but concentrations of pass-tap water were 1.5 to 2.0 times higher than those of treated water and not pass-tap water, due to the reaction of residual chlorine and organic matter, etc, with the result of long residence time in water storage tank.

A Study on the Operating Management Method of Creative Engineering Design and Project Based Capstone Design for the Purpose of Improvement in the Quality of Engineering Education (공학교육 내실화를 위한 종합 설계 교과와 졸업 연구 작품 제작 활동의 운영 방안 연구)

  • Chang, Eun-Young
    • The Journal of Korean Institute for Practical Engineering Education
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    • v.2 no.2
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    • pp.23-29
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    • 2010
  • In this study, there is a modeling for the procedure and operational method of the project based capstone design and related products which are a certificate of graduate status, and those results were evaluated by self-review and the performance assessment. Finally, the improvements in the operating management method are proposed. Before one semester by the end of to the assessment, the design thesises of capstone results are fixed to the 15 sets by 2 people in each group. All teams are satisfied the criteria of evaluation, and they all got a grad over 60 points. The mean value of their's score are similar to the average of recent 5 years. The results of self-evaluations and questionaries indicate a totally self-satisfied(3.8~4points out of 5), but the weak parts of this procedure are known as the area of plan making and Implementation. Also, there are some problems associated with a group of people into a team by the human relation rather than knowledge based mutual supplementation.

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A Study on the Improvement of Construction Cost Standards for Pipe Laying and Joining Work (관 부설 및 접합공사 공사비산정기준 개선에 관한 연구)

  • Oh, Jae-Hoon;Ahn, Bang-Ryul
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.7
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    • pp.675-684
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    • 2020
  • To prevent safety accidents caused by aging pipe infrastructure and to maintain water quality, construction projects for water and sewage pipes are actively conducted across Korea. This study analyzed the criteria situations, site survey details, and regulation revisions related to the calculation of construction cost standards for pipe laying and joining work. The analysis showed that the major causes for revision are the unclear construction scope, limitations in implementing some pipe materials due to installation facility types, workforce focused on ordinary labor, limitations of manual laying work, and the lack of tool hire cost and machine expense-calculation criteria. Field studies were conducted to categorize the pipes according to their features, in addition to identifying the use of lifting heavy equipment and light equipment. In addition, excavation and testing work conducted in connection to pipe laying, as well as the use of skilled labor, were investigated. The current study clarified the work scope through new common items, provides an organization based on the pipe material, adjusted the workforce ratio to focus more on skilled labor, and developed grounds for calculating machine expenses. These revisions were estimated to save approximately 1.28% of the construction costs in each project according to an analysis of the construction cost impact study. truction costs in each project, according to an analysis of construction cost impact study.

A Study on Developing Qualification Criteria in the Private Security Industry (민간경비 자격검정 개선방안에 관한 연구)

  • Choe, Jung-Taek
    • Korean Security Journal
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    • no.18
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    • pp.143-167
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    • 2009
  • As of entering the 21st century, a trend in the field of a private security industry among the advanced countries have been increased a qualification system and train session to meet the needs of professionalism. Intensifying the professionalism in Korea, education and train system has been initiated to change but the oligopoly market already formulated due to impractical selection standard and management of education system. Issuing certification and offering basic training through a designated institution for the purpose of improving quality of the private security industry worker, its practical effectiveness were lower than expectation. Rather certification-holder or security agency, institution or truster's rent-seeking behavior have been increased by occupational licensing system. The founded results, which were associated to problems in selecting and educating to the private security guard, in this study were that any verification has been initiated towards dual-system in official approval and structural problems in education system, and non-existence of verification for professionalism and management capability to security agency owner and its upper managerial level. Current a dual system in an officially authorized verification system and completion of security guard credential requested change to an unified official qualification verification system to solve those problems. Ranges of an applicant to the unified official qualification verification system should be extend to the whole population in the private security industry. Moreover, minimization of the dead-weigh loss, which is caused by oligopoly phenomenon while using its market-dominant status, increasement number of designated institution, which allows self-regulating competition, and endowment of autonomy, which is in selecting education and agency, were requested to solve the problems in selecting and educating to the private security guard. In order to minimize stated problems while maintaining objectiveness, a new manage and supervise institution, which is called a 'private security industry committee', should be establish. The private security industry committee is a formation of governance network which are participated from professional group to civil organization.

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The Effect of Non-Audit Services on Auditor Independence: Evidence from Vietnam

  • DOAN, Nga Thanh;PHAM, Cuong Duc;NGUYEN, Thuong Thi Uyen;VU, Mai Phuong;PHAM, Lam Ha
    • The Journal of Asian Finance, Economics and Business
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    • v.7 no.12
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    • pp.445-453
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    • 2020
  • Independence is a factor which has a significant impact on auditing quality, especially in the recent times where the marketplace is increasingly demanding transparency. The independence of auditors is assessed based on the main criteria such as the reliability of the audit opinions, the accuracy, truthfulness of financial reports, and the objectivity in the opinions of the auditor. The study investigates the effects of non-audit services (NAS) on auditor independence in emerging economies such as Vietnam. Non-audit services include taxation services, management advisory services and outsourcing internal audit services. Based on previously relevant researches, the authors develop hypotheses and a regression model about non-audit services (independent variables) and audit independence (dependent variable). The research collects data by 5-scale Likert questionnaire. The findings indicate the relationship between NAS and auditor independence. Specifically, the results reveal two main factors that have influence on auditor independence, namely, taxation services and management advisory services. The results of our research can be considered as new findings and can be compared to previous researches in Vietnam, which establishes a new viewpoint about the relationship between the NAS and the independence of the auditor. This result can be implemented for countries or jurisdictions which are similar to Vietnam.

Empirical study on the turn-over intention of university hospital nurses (간호사의 직무스트레스와 직무만족도가 소진과 이직의도에 미치는 영향관계 실증연구)

  • Bang, Byung-Mun;Lee, Sun Young;Cheong, Jong One
    • Journal of Digital Convergence
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    • v.13 no.2
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    • pp.205-213
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    • 2015
  • This study is a survey and research attempted to seek the ways of effective human resource management and improving the quality of nursing - targeting the nurses working for the general hospitals - by analyzing the impact of job satisfaction and job stress factors on exhaustion and turnover intentions, so as to find the nurses' turnover factors and remove those factors in advance. Although we cannot raise job satisfaction to the level we are satisfied by monetary compensation, i.e. salary alone, but as seen in this study, it is worth considering such ways as the subjects with high salaries showed relatively higher job satisfaction. Finally, in order to prevent the turnover of the competent nursing staff at an early stage, active systematic supplements and efforts are required; it is also necessary to provide constant job training, by taking into account of the specificity of nursing units and to secure and place adequate nursing staff, and to establish fair and objective promotion criteria.