• Title/Summary/Keyword: Criteria of Quality Management

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Audit of Appropriateness of Fresh Frozen Plasma Transfusion (신선동결혈장의 적정수혈 분석)

  • Seo, Youkyung;Kim, Moon Jung;Kim, Sinyoung;Kim, Hyun Ok
    • The Korean Journal of Blood Transfusion
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    • v.23 no.2
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    • pp.136-144
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    • 2012
  • Background: Fresh frozen plasma (FFP) transfusion is administered primarily for management of acquired bleeding disorders. However, in practice, FFP transfusion is increasing without a solid rationale. Methods: We conducted an audit to evaluate the appropriateness of the indications for FFP transfusion during the period from July 2010 through June 2011. Assessment of the appropriateness of the indications was based on the national transfusion guidelines and the transfusion criteria promulgated by the Severance Hospital. Results: In total, 17,733 units of plasma were transfused to 1,949 patients over 4,982 events. We found that administration of FFP was not in compliance with the recommended guidelines in 1,990 events. The number of total FFP transfusions was higher in medical departments (Gastroenterology) than in surgical departments (Thoracic and cardiovascular surgery, General surgery). However, the proportion of cases of inappropriate transfusion was higher in surgical departments than in medical departments. Both the total number of FFP transfusion and the proportion of inappropriate transfusion were high in patient with neoplasm, disease of the digestive system, and diseases of the circulatory system. Conclusion: Continuous monitoring on appropriateness for FFP transfusion and feedback to the physician are critical in securing the transfusion safety as well as maintaining the quality of FFP transfusion. New-found indication for FFP transfusion should be investigated and applied in timely manner.

A Convergence Study on effectiveness of contrast agent reduction by normal saline solution dilution in the computed tomography of arteries of lower limb (하지동맥 전산화단층촬영 검사 시 생리식염수 희석을 통한 조영제 사용량 감소의 융복합 효용성 연구)

  • Kim, Sang-Hyun
    • Journal of Digital Convergence
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    • v.13 no.9
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    • pp.431-437
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    • 2015
  • This convergence study analyzed the effectiveness of contrast agent reduction by normal saline solution dilution in the computed tomography of arteries of lower limb. 48 patients of 125 cc contrast agent and 30 patients of the same amount divided at a ratio of 7:3 for the contrast agent and normal saline solution were studied. The average attenuation coefficient(HU) and signal to noise ratio(SNR) of abdominal aorta, femoral artery, popliteal artery and posterior tibial artery at each image were evaluated quantitatively and the four criteria in the five point scale was conducted qualitatively by two radiologists and four radiological technologists. In the quantitative evaluation, both HU and SNR had high average score before dilation but there were no statistical significance by independent t-test(p>0.05). In the qualitative evaluation, there were a little differences in the average scores between 4.86~4.77 of original contrast agent and 4.83~4.67 of dilated contrast agent but there were no statistical significance(p>0.05). In the computed tomography of arteries of lower limb, the dilated contrast agent doesn't influence image quality and reduces overall contrast agent and lowers iodine content per unit of molecular therefore will contribute to decrease side effect of contrast agent.

Investigation on the SARS-CoV-2 RNA and PM-2.5 inside Public Transportations in Seoul (서울시 대중교통 내 SARS-CoV-2 RNA와 PM-2.5 오염도 실증연구)

  • Seo, Minjeong;Hong, Juhee;Rhee, Hojun;Park, Jinsol;Lim, Hakmyeong;Park, Myung Kyu;Min, Byungchul;Park, Eun Sun;Lee, Sanghoon;Kim, Hanjun;Ha, Kwangtae;Kwon, Seungmi;Shin, Jinho;Lee, Jaein;Hwang, Youngok;Oh, Younghee;Shin, Yongseung
    • Particle and aerosol research
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    • v.18 no.2
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    • pp.23-35
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    • 2022
  • Recently, passengers using public transport are concerned about the effects of COVID-19 and fine dust. Therefore, from February 2020 to February 2021, we investigated whether SARS-CoV-2 RNA was detected even after disinfection in 55 public transportation places visited by confirmed patients in Seoul. 34 air samples and 702 object surface samples were collected and tested with RT-PCR, one surface sample was positive. In addition, preemptive investigations were conducted in 22 subway trains that passengers were being on board at that time. 1,018 preemptive tests were performed, and all were negative. Although PM-2.5 is dangerous in itself, it can be a potential carrier of viruses. It seemed that a solution was needed as one line continuously exceeded the criteria of PM-2.5. Through this study, it is judged that cluster infection in public transportation can be prevented if efforts to reduce the concentration of fine dust, appropriate disinfection management, and personal disinfection such as wearing a mask in public transportations.

A Study on the Distribution Map Construction of Asbestos Buildings Owned by Seoul Using QGIS (QGIS를 활용한 서울시 소유 석면건축물 분포지도 제작에 관한 연구)

  • Lee, Jin Hyo;Bae, Il Sang;Ha, Kwang Tae;You, Seung Sung;Han, Kyu Mun;Eo, Soo Mi;Jung, Kweon;Lee, Jin Sook;Koo, Ja Yong
    • Journal of Korean Society of Environmental Engineers
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    • v.38 no.9
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    • pp.528-533
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    • 2016
  • One of ways for effectively maintaining asbestos buildings is to select asbestos buildings to be removed firstly by manufacturing and analyzing asbestos map of various topics. Thus, in this study we manufactured asbestos map of various topics for the effective management of asbestos buildings owned by Seoul using QGIS (Quantum Geographic Information System). To select asbestos buildings likely to cause asbestos scattering problem and exposure into the air, we comprehensively took into consideration various topics such as asbestos buildings density, asbestos-area ratio, asbestos buildings distribution considering the population, first removal object, risk assessment, elapsed year. As described in this study, using the GIS may be utilized as a method for selecting asbestos buildings to be removed firstly as well as distribution of asbestos buildings. In the future, it is necessary to make assessment criteria considering diversification of property value in GIS such as the characteristics of the living environment around the asbestos buildings. This is expected to be utilized to manage the vulnerable region to asbestos exposure.

Evaluation Index for U-city Status Diagnostic Assessment System based on Local Governments (지자체 U-City 수준진단체계 평가지표)

  • Lee, Mee Young;Shin, Ju Ho;Lee, Jae Yong
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.15 no.5
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    • pp.20-28
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    • 2016
  • A Ubiquitous City (U-city, Smart City) is one that ties information communications technologies (ICT) into many facets of city construction, thereby implicitly intending to function as a smart city that aims to be efficiently managed as well as provide an enhanced standard of living for its residents. Laws related to the construction of such ubiquitous cities point to integrated city management centers, intelligent facilities, and U-City infrastructure, among others, as central components of U-Cities, but do not provide a standard for these structures. Consequently, building of U-Cities by local governments are based on arbitrary judgments constrained the myriad of practical limitations that they face. Such ambiguity brings to light the need to find ways to improve the quality of these efforts. The first and second stages of this research examine the status of the components of a U-City -ubiquitous planning, technology, infrastructure, and services - and undertakes a comprehensive review thereof, with evaluation criteria formulated on the characteristics of stability, connectivity, goal-orientation, and development potential. In the research's third stage, a realistic and detailed evaluation index by which U-Cities can be renewed, demonstrated, and applied (???) is introduced in a step-by-step fashion, which will allow for local governments to properly assess the standard of their U-City in relation to the realities of the locality. Through the research result, it is expected that the index will become a part of the continued development and advancement of the "smart" character of an autonomous U-City at the local scale, and contribute to the overall revitalization of the U-City.

Diagnosis for Review of Statement and System Improvement of Consultation on the Coastal Area Utilization in Korea (해역이용협의 검토유형 분석 및 제도개선 진단)

  • Kim, Gui-Young;Lee, Dae-In;Jeon, Kyeong-Am;Eom, Ki-Hyuk;Woo, Young-Seok
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.15 no.4
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    • pp.345-354
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    • 2009
  • The review of statements and coastal development characteristics in South Korea were diagnosed by the consultation on the coastal area utilization in Korea. The occupation and the use of public water were dominated by installation of coastal structure and seawater supply and drainage whereas the reclamation areas were predominantly utilized for developing industrial complex, harbor, fishing port and road. The occupation and the use were dominant in western coast, but reclamation was dominant in southern coast of Korea. The number of utilization cases was particularly greater in Jeonnam, Gyeongnam, and Gyeonggi Province including Incheon. The number of the statements reviews increased by more than 200 cases in 2008 compared with 2007, and most of them were the simple statements. The statements related to ocean disposal of dredged sediment, reclamation, dredging sediment, seawater supply and drainage, and marine sand mining were submitted for review. Coastal utilization was especially active in the regions of seawater quality criteria I and II. In particular, special management sea areas designated under the relevant marine regulations were utilized mostly by reclamation for developing harbor, fishing port and coastal structure. Development activities in national parks comprised primarily structure installation and coastal maintenance. In the fisheries resources protection areas, 40% of the total cases accounted for coastal maintenance, 31% for structure installation, and 16% for seawater supply and drainage. In addition, alternative plans for the improvement in policies and system of marine environmental impact assessment were suggested to enhance the function and confidence of the consultation on the coastal area utilization in Korea.

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The Status of Clay Minerals in Aggregates and Their Effect on the Concrete Performance (골재에 포함된 토분의 현황 조사 및 콘크리트의 성능에 미치는 영향)

  • Kim, In;Han, Min-Cheol
    • Journal of the Korea Institute of Building Construction
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    • v.24 no.4
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    • pp.393-402
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    • 2024
  • The Korean Industrial Standard(KS) KS F 2527("Aggregates for Concrete") does not explicitly define criteria for clay mineral content in aggregates. This lack of clear quality standards and testing methodologies is further compounded by a scarcity of relevant research within both academic and industrial spheres. Consequently, the construction industry, encompassing both aggregate production and utilization, often overlooks the management of clay mineral content due to its perceived economic implications. This study addresses this gap by investigating the current state of regulations concerning clay mineral content in aggregates, exploring the causes of its occurrence, and evaluating its impact on concrete performance. The chemical composition of the clay minerals was determined to primarily consist of Al2O3, Fe2O3, and SiO2, which are commonly found in clay. X-ray diffraction(XRD) analysis revealed that the predominant clay minerals were montmorillonite and illite, both known for their high absorption capacity. An examination of domestic and international standards for clay mineral content in aggregates demonstrated that the density and absorption rate specifications outlined in KS F 2527("Aggregates for Concrete") only offer indirect estimations of clay mineral levels. Furthermore, the investigation into the influence of clay mineral content on concrete performance suggests that a higher clay mineral content necessitates a corresponding increase in the unit quantity of aggregates to maintain adequate workability. This, however, has a detrimental effect on the compressive strength of the concrete.

A Study on Type A Behavior Pattern(TABP), Stress, Depression and HIT-6 in the Patients with Chronic Headache (만성두통 환자의 성격유형 A 행태, 스트레스, 우울 및 두통영향정도의 관계 연구)

  • Cha, Nam-Hyun;Lim, Sabina;Jung, In-Tae;Kim, Su-Young;An, Kyung-Ae;Kim, Keon-Sik;Lee, Jae-Dong;Lee, Sang-Hoon;Choi, Do-Young;Lee, Yun-Ho;Lee, Doo-Ik
    • Korean Journal of Adult Nursing
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    • v.17 no.4
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    • pp.539-547
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    • 2005
  • Purpose: To examine an estimate factor and grasp the relation of difference for Type A Behavior Pattern(TABP), Perceived Stress Questionnaire, Depression and HIT-6 in the Chronic headache client. Method: Data collected by self-reported questionnaires from 38 client in S city who were selected by criteria of IHS, from the $19^{th}$ of October to 10th of December, 2004. Result: 1) Differences between biographical data by TABP was significant by SaSang constitutions, by Stress was significantly influenced by age, and by Depression were significantly influenced health status and SaSang constitutions. 2) Correlations Coefficients among Study Variables were Stress and Depression(r=.494, p=.002) and Depression and HIT-6(r=.432, p=.010). 3) In regression analysis, HIT-6 were significantly influenced by Depression and Type A Behavior Pattern(TABP).These variables explained 38% and 34% respectively. Conclusion: The result suggest that chronic headache management with psychological aspect, as well as physical aspect should be a focus to enhance the quality of life.

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A Study on the Optimal Management Option of the Disposal of Resources Found in Standard Plastic Garbage Bags (종량제봉투 내 폐자원에 대한 최적 처리방안 연구)

  • Park, Sang Jun;Kim, Eui Yong
    • Resources Recycling
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    • v.23 no.5
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    • pp.44-54
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    • 2014
  • A standard plastic garbage bag which was discarded from Incheon Metropolitan City was composed of 4.5% recyclable resources (aluminum cans 0.2%, steel cans 2.5%, glass 1.8%), 92.5% resources with recoverable energy (papers 23.0%, plastics 15.5%, combustible etc. 54.0%) and 3.0% non-combustible etc. Recycling is more effective than landfilling for aluminum cans, steel cans, and glass. The energy recovery process using solid refuse fuel (SRF) is more effective than incineration for papers and plastics. Incineration is more effective than recycling for combustible etc. 2,068,948 Million Btu of total energy savings and 21,008 $MTCO_2E$ of total GHG reductions were obtained by the application of the proposed scheme. The total energy savings were equivalent to an economic benefit of 422 billion won per year. The total GHG reductions were equivalent to a GHG benefit of 4,119 passenger cars not running per year. The lower calorific value of the combustible materials was obtained to be 1,936 kcal/kg of papers, 5,079 kcal/kg of plastics and 2,462 kcal/kg of combustible other resources, respectively. If papers and plastics are properly mixed, the mixture can be used as SRF. The lower calorific value of combustible other resources does not meet the quality criteria for refuse derived fuel, therefore its components are inappropriate to used as solid refuse fuel.

Change of dry matter and nutrients contents in plant bodies of LID and roadside (도로변 및 LID 시설 내 식생종류별 식물체 내 건물률 및 영양염류 함량 변화)

  • Lee, YooKyung;Choi, Hyeseon;Jeon, Minsu;Kim, Leehyung
    • Journal of Wetlands Research
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    • v.23 no.1
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    • pp.35-43
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    • 2021
  • The application of nature-based solutions, such as low impact development (LID) techniques and green infrastructures, for stormwater management continue to increase in urban areas. Plants are usually utilized in LID facilities to improve their pollutant removal efficiency through phytoremediation. Plants can also reduce maintenance costs and frequency by means of reducing the accumulation of pollutants inside the facility. Plants have long been used in different LID facilities; however, proper plant-selection should be considered since different species tend to exhibit varying pollutant uptake capabilities. This study was conducted to investigate the pollutant uptake capabilities of plants by comparing the dry matter and nutrient contents of different plant species in roadsides, LID facilities, and landscape areas. The dry matter content of the seven herbaceous plants, shrubs, and arboreal trees ranged from 60% to 90%. In terms of nutrient content, the total nitrogen (TN) concentration in the tissues of herbaceous plants continued to increase until the summer season, but gradually decreased in the succeeding periods. TN concentrations in shrubs and trees were observed to be high from early spring up to the late summer seasons. All plant samples collected from the LID facility exhibited high TP content, indicating that the vegetative components of LID systems are efficient in removing phosphorus. Overall, the nutrient content of different plant species was found to be highly influenced by the urban environment which affected the stormwater runoff quality. The results of this study can be beneficial for establishing plant selection criteria for LID facilities.