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An Application Study of Six Sigma in Clinical Chemistry (6 시그마의 적용에 대한 연구)

  • Chang, Sang Wu;Kim, Nam Yong;Choi, Ho Sung;Park, Yong Won;Chu, Kyung Bok;Yun, Kyeun Young
    • Korean Journal of Clinical Laboratory Science
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    • v.36 no.2
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    • pp.121-126
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    • 2004
  • The primary goal of six sigma is to improve patient satisfaction, and thereby profitability, by reducing and eliminating defects. Defects may be related to any aspect of customer satisfaction: high product quality, schedule adherence, cost minimization, process capability indices, defects per unit, and yield. Many six sigma metrics can be mathematically related to the others. Literally, six means six standard deviations from the mean or median value. As applied to quality metrics, the term indicates that failures are at least six standard deviations from the mean or norm. This would mean about 3.4 failures per million opportunities for failure. The objective of six sigma quality is to reduce process output variation so that on a long term basis, which is the customer's aggregate experience with our process over time, this will result in no more than 3.4 defect Parts Per Million(PPM) opportunities (or 3.4 Defects Per Million Opportunities. For a process with only one specification limit (upper or lower), this results in six process standard deviations between the mean of the process and the customer's specification limit (hence, 6 Sigma). The results of applicative six sigma experiment studied on 18 items TP, ALB, T.B, ALP, AST, ALT, CL, CK, LD, K, Na, CRE, BUN, T.C, GLU, AML, CA tests in clinical chemistry were follows. Assessment of process performance fits within six sigma tolerance limits were TP, ALB, T.B, ALP, AST, ALT, CL, CK, LD, K, Na, CRE, BUN, T.C, GLU, AML, CA with 72.2%, items that fit within five sigma limits were total bilirubin, chloride and sodium were 3 sigma. We were sure that the goal of six sigma would reduce test variation in the process.

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The Physical Properties and Performance of Products for Eyelash Monofilaments (속눈썹용 원사의 물리적 성질 및 제품성능)

  • Son, Eun Jong;Ahn, Jae Sang;Yoon, Hye Jun;Shin, Hee Young
    • Textile Coloration and Finishing
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    • v.34 no.4
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    • pp.272-283
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    • 2022
  • In this study, the flat-section monofilaments of PBT for artificial eyelashes was developed, and the physical properties of the circular cross-section of artificial eyelashes were compared and observed, and the main performance of the artificial eyelash prototype was observed through processing for artificial eyelashes. In addition, a satisfaction survey of the prototype was conducted through a survey of consumers and artificial eyelash operators. It was found that the bending stiffness value of the monofilaments increased significantly as the thickness increased. As a result of measuring the bending properties of the flat-section PBT monofilaments, the bending stiffness was significantly lower than that of the circular-section PBT specimens of the same thickness. The deformed cross-section PBT monofilaments with flat cross sections developed in this study showed a light weight factor of less than 50% compared to the existing circular cross-section PBT ones. The adhesive strength of the developed PBT artificial specimens was greater than that of the existing circular cross-section yarn. It was also observed that the curl stability over time was excellent. As a result of the consumer survey, it was possible to obtain more than 85% of positive answers in the case of consumer subjects, and it was possible to investigate that the satisfaction of the operator subjects was more than 80% compared to the existing round-section eyelashes.

Exploring the Latent Trait and the Measurement Properties of Korean World Health Organization Quality of Life-BREF Measure Applied to Cancer Survivors

  • Bongsam Choi
    • Physical Therapy Korea
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    • v.30 no.2
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    • pp.120-127
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    • 2023
  • Background: In general, measurement qualities of cross-culturally adapted quality of life (QOL) measures are altered in many aspects, although versions of them are well-validated measures. The latent trait and measurement qualities of the QOL measures for cancer-related samples should be considered when developing cross-culturally adapted measures. Objects: To investigate the latent trait of the translated into Korean World Health Organization Quality of Life-BREF (WHOQOL-BREF) administered to different cancer survivors who had palliative rehabilitation care service (PRCS). Methods: A cross-sectional study with 139 cancer survivors who had an experience of cancer survivorship with PRCS were conducted with a two-step analytic procedure including exploratory factor analysis (EFA) to confirm the latent trait and Rasch rating scale modeling to investigate the measurement qualities of the cross-culturally adapted WHOQOL-BREF measure. Results: While the original WHOQOL-BREF measure constitutes a 4-latent trait, the EFA reveals that 24 items constitute six substantial factors. The item loadings are predominantly spread over factors 1 through 4 in a mixed manner of the latent traits, while the loadings of 'physical health' and 'environmental health' latent traits show similarity to what the original measure intended to assess. The latent trait of the cross-culturally adapted WHOQOL-BREF measure administered to different cancer survivors is likely to reveal more dimensions than the original WHOQOL-BREF measure. Person reliability (i.e., analogous to Cronbach's alpha) and separation are measured with 0.92 and 3.48, respectively. All items except the one item (medical treatment item) fit the Rasch rating model. Conclusion: Findings suggest that the latent trait and the measurement qualities of the cross-culturally adapted WHOQOL-BREF measure should be taken into consideration when applying versions of it to various populations.

Reliability and Safety of Cross-Leg Free Latissmus Dorsi Muscle Flap in Reconstruction of Mutilating Leg Injuries Using End-to-Side Anastomosis

  • Ahmed Gaber Abdelmegeed;Mahmoud A. Hifny;Tarek A. Abulezz;Samia Saied;Mohamed A. Ellabban;Mohamed Abdel-Al Abo-Saeda;Karam A. Allam;Mostafa Mamdoh Haredy;Ahmed S. Mazeed
    • Archives of Plastic Surgery
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    • v.50 no.5
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    • pp.507-513
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    • 2023
  • Background Free tissue transfer is considered the gold standard option for the reconstruction of distal leg defects. Free tissue transfer using recipient vessels in the contralateral leg (cross-leg bridge) is a potential option to supply the flap if there are no suitable recipient vessels in the injured leg. Most studies have described this technique using end-to-end anastomosis which sacrifices the main vessel in the uninjured leg. This study evaluated the use of a cross-leg free latissimus dorsi muscle flap for the reconstruction of defects in single-vessel legs, using end-to-side anastomosis to recipient vessels in the contralateral leg without sacrificing any vessel in the uninjured leg. Methods This is a retrospective study that included 22 consecutive patients with soft tissue defects over the lower leg. All the reconstructed legs had a single artery as documented by CT angiography. All patients underwent cross-leg free latissimus dorsi muscle flap using end-to-side anastomosis to the posterior tibial vessels of the contralateral leg. Results The age at surgery ranged from 12 to 31 years and the mean defect size was 86 cm2. Complete flap survival occurred in 20 cases (91%). One patient had total flap ischemia. Another patient had distal flap ischemia. Conclusion Cross-leg free latissimus dorsi muscle flap is a reliable and safe technique for the reconstruction and salvage of mutilating leg injuries, especially in cases of leg injuries with a single artery. As far as preservation of the donor limb circulation is concerned, end-to-side anastomosis is a reasonable option as it maintains the continuity of the donor leg vessels.

Characteristics of ZnO Arrester Blocks Leakage Currents under Mixed Direct and 60 Hz Alternating Voltages (직류와 60 Hz 교류가 중첩된 전압에 대한 산화아연 피뢰기 소자의 누설전류 특성)

  • Lee Bok-Hee;Kang Sung-Man;Pak Keon-Young
    • The Transactions of the Korean Institute of Electrical Engineers C
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    • v.54 no.1
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    • pp.23-29
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    • 2005
  • This paper presents the characteristics of leakage currents flowing through ZinC Oxide(ZnO) surge arrester blocks under mixed direct and 60 Hz alternating voltages. A mixed voltage, in which an alternating voltage is superimposed upon a direct voltage, appears on the HVDC system network. The mixed direct and alternating voltage generator with a peak open-circuit of 10 kV was designed and fabricated. The leakage currents and V-I curves for the fine and used ZnO surge arrester blocks were measured as a function of the voltage ratio k, where the voltage ratio k is defined as the ratio of the peak of alternating voltage to the peak of the mixed voltages. The resistive component in the leakage current in the low conduction region is significantly increased with increasing the voltage ratio k. The V-I characteristic curves for the mixed voltages lies between the direct and alternating characteristics, and the cross-over phenomenon in the high conduction region was appeared.

The Study of the Equation $(x+1)^d=x^d+1$ over Finite Fields (유한체위에서 방정식 $(x+1)^d=x^d+1$에 대한 연구)

  • Cho, Song-Jin;Kim, Han-Doo;Choi, Un-Sook;Kwon, Sook-Hee;Kwon, Min-Jeong;Kim, Jin-Gyoung
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2012.05a
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    • pp.237-240
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    • 2012
  • Binary sequences of period $N=2^k-1$ are widely used in many areas of engineering and sciences. Some well-known applications include code-division multiple-access (CDMA) communications and stream cipher systems. In this paper, we analyze the equation $(x+1)^d=x^d+1$ over finite fields. The $d$ of the equation is used to analyze cross-correlation of binary sequences.

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Analysis of Time-Varying Optimal Hedge Ratio and Effectiveness for Carbon Prices : EUA and CER of EU ETS (탄소배출권의 최적 헤지 비율과 시간변동성에 관한 연구: EU ETS의 EUA와 CER을 중심으로)

  • Park, Soonchul;Cho, Yongsung
    • Journal of Environmental Policy
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    • v.12 no.4
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    • pp.93-117
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    • 2013
  • We analyze the optimal hedge ratio and hedge effectiveness with different periodic times between spot and futures on EUA and CER based on EU-ETS. The Main finding are as follows. The first, hedging model which considers the time-varying variance is not more accurate than non-time-varying hedging models. The second, optimal hedge ratios are different even though hedge effectiveness is similar for the hedging purpose. The third, hedge effectiveness has uncertainty if hedge period is short. In case of EUA it needs to over 6 weeks and CER needs to over 7 weeks. The fourth, cross hedge with CER futures is not suitable for profit ratios.

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An Adaptive FEC Mechanism Using Crosslayer Approach to Enhance Quality of Video Transmission over 802.11 WLANs

  • Han, Long-Zhe;Park, Sung-Jun;Kang, Seung-Seok;In, Hoh-Peter
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.4 no.3
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    • pp.341-357
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    • 2010
  • Forward Error Correction (FEC) techniques have been adopted to overcome packet losses and to improve the quality of video delivery. The efficiency of the FEC has been significantly compromised, however, due to the characteristics of the wireless channel such as burst packet loss, channel fluctuation and lack of Quality of Service (QoS) support. We propose herein an Adaptive Cross-layer FEC mechanism (ACFEC) to enhance the quality of video streaming over 802.11 WLANs. Under the conventional approaches, FEC functions are implemented on the application layer, and required feedback information to calculate redundancy rates. Our proposed ACFEC mechanism, however, leverages the functionalities of different network layers. The Automatic Repeat reQuest (ARQ) function on the Media Access Control (MAC) layer can detect packet losses. Through cooperation with the User Datagram Protocol (UDP), the redundancy rates are adaptively controlled based on the packet loss information. The experiment results demonstrate that the ACFEC mechanism is able to adaptively adjust and control the redundancy rates and, thereby, to overcome both of temporary and persistent channel fluctuations. Consequently, the proposed mechanism, under various network conditions, performs better in recovery than the conventional methods, while generating a much less volume of redundant traffic.

Changes of Tracheal Anastomosis Site in Growing Rats (흰쥐에서 기관절제 단단 문합부의 성장에 따른 변화)

  • 박희철
    • Journal of Chest Surgery
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    • v.26 no.5
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    • pp.343-348
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    • 1993
  • Growth of suture line and anastomosis is required for long-term success after the tracheal and bronchial surgery in infant and pediatric patient. We used various suture materials in these cases, but the results were differ. To select the adequate suture material in tracheal surgery, we tried next. Tracheal anastomoses were performed in 150 Sprague Dawley rats, aged 4 to 8 [mean 5.8] weeks and weight 62 to 106[mean 83.6] gram, to compare polydioxanone[PDS] 7-0, polyglactin 910[Vicryl]7-0, and polypropylene [prolene] 8-0 suture materials. In 150 rats, only 29[20%] were lived over 300 days, and the weight was 250 to 320[mean 289.5]gram. Cross sectional area of the anastomoses and two or three tracheal rings below anastomosis site were measured under microscope, and calculated and compared as Hsieh`s equition. Cross-sectional area,anastomosis site/normal site 100, were 89.4 $\pm$ 5.34% in PDS group[n=9], 75.7 $\pm$ 6.06% in Vicrylgroup [n = 10], and 80.8$\pm$ 4.06% in Prolene group[n = 10]. Histopathologic studies were done for all autopsies or put in death around 300 days postoperatively. PDS absorblion was not seen 16 weeks after suture but disappeared over 24 weeks slide. Vicryl absorbtion was noted postoperative 8 to 16 weeks, with marked tissue reaction. Prolene showed least tissue reaction, but the suture material was persisted with regional fibrotic capsule.Causes of death were respiratory failure in 76 cases, tracheal rupture in 22 cases, hemorrhage, biting, starvation and etc. in 23 cases. With the brief review of literatures, we report the results.

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Effects of Phosphorus and in-situ Post-heat Pulse Conditions on Resistance Spot Weldability of High Si DP980 Steel Sheet (고Si DP980강 스폿 용접 특성에 미치는 Phosphorus (P) 및 in-situ 후열처리 펄스 조건의 영향)

  • Choi, Du-Youl
    • Journal of Welding and Joining
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    • v.33 no.6
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    • pp.21-26
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    • 2015
  • Recently, application of UHSS(Ultra High Strength Steels) whose tensile strength is over 1000MPa to car body structure are growing due to great needs for light weighting and improved crash worthiness. However, their poor weldability is one of obstacles to expand selecting to car body. In this study, effect of Phosphorus contents on resistance spot weldability of high elongation DP980 steel whose Si content is over 1% was investigated. The cross tension strength (CTS) was decreased showing partial interface fracture as Phosphorus content increase because of solidification segregation of Phosphorus. In order to improve resistance spot weldability by modification of welding condition, in-situ post-weld heating pulse was introduced after main pulse. The optimum cooling time between main and post pulse and post-pulse current condtion were determined through FEM welding simulation and DOE tests. The CTS was increased about 1.5 time showing plug fracture. The decrease of Phosphorus segregation was found to be a major reason for weld ductility and CTS improvement.