• Title/Summary/Keyword: Implementation levels

Search Result 626, Processing Time 0.022 seconds

Relationship of Glucose Control and Wound Infection in Diabetics after Lumbar Spine Surgery

  • Kim, Byung-Ook;Kim, Seok-Won;Lee, Seung-Myung;Shin, Ho
    • Journal of Korean Neurosurgical Society
    • /
    • v.37 no.1
    • /
    • pp.44-47
    • /
    • 2005
  • Objective: The purpose of this study is to investigate the elevated blood glucose levels in the postoperative period are associated with an increased risk of deep wound infection in diabetic individuals undergoing lumbar spine surgery. Methods: Of 2896 patients who underwent lumbar spine operations by one surgeon between 1993 and 2002, 329(11.4%) were diabetics. The rate of deep wound infections in diabetic patients was 6.4%, versus 3.2% for nondiabetics. 152 patients had their operation before implementation of the protocol and 177 after implementation. Charts of the diabetic patients were reviewed. Mean blood glucose levels were calculated from documented results of finger-stick glucometer testing. Results: Twenty-one diabetic patients suffered deep wound infection. Infected diabetic patients had a higher mean blood glucose level through the first 2 postoperative days than noninfected patients($230{\pm}6.9$ versus $175{\pm}3.8mg/dL$; p<0.003) and had a long operation time($216{\pm}57.9$ versus $167.5{\pm}42.2$ minute; p<0.05). Multivariable logistic regression showed that mean blood glucose level for the first 2 postoperative days, long operation time, and use of the instrumentation(p<0.02) were all related predictiors of deep wound infection. Institution of a protocol of postoperative continuous intravenous insulin to maintain blood glucose level less than 200mg/dL was began in september 1997. This protocol resulted in a decrease in blood glucose levels for the first 2 postoperative days and a concomitant decrease in the proportion of patients with deep wound infection, from 8.3%(11/132) to 5.1%(10/195) (p<0.02). Conclusion: The incidence of deep wound infection in diabetic patients is reduced after implementation of a protocol to maintain mean blood glucose level less than 200mg/dL in the immediate postoperative period.

A Study on the Factors Affecting the Implementation Process of Information System Development Methodology (시스템 개발방법론의 구현 프로세스에 미치는 영향요인에 관한 연구)

  • 장윤희;이재범
    • Korean Management Science Review
    • /
    • v.19 no.1
    • /
    • pp.197-224
    • /
    • 2002
  • Our study focuses on the implementation of IS development methodology as the innovation of IS organization. We have two main research objectives. We Intend to understand the critical factors affecting the implementation process of IS methodology. We also intend to deeply analyze the relationship among the implementation processes of methodology. The whole innovation process is divided into detailed four levels tilth dynamic and evolving Point of clew a cognition level, an adoption level, an acceptance level and an usage level. The results of our study are as follows. The main factors affecting initiation level of the IS methodology are the innovativeness of IS members, the existence of champion manager, training, the existence of IS performance gap, executive supports for IS organization, and the relative advantage of IS development methodology At the Implementation level, It is understood that the existence of champion manager executive supports, training and the relative advantage of innovation are the main factors. However, the complexity of Innovation is a megative factor about the quality of accepting and using the methodology In Innovation process. In performing the Innovation process, the Previous level gives very notable affection to the continuous next level. However it's also understood that positive attitude of adoption level does not directly affect the quality of using Innovation. Therefore, IS managers must pay attention to manacle each level of the Innovation Process to successfully accomplish the Implementation of IS methodology.

Factors for Successful Implementation of Extensive Reading Program Using Online/Offline Blended English Library System in Schools

  • Kwon, Hyekyung;Chang, Kyungsuk;Kim, Yongwhan;Lee, Byeong-Cheon;Jeon, Young-Joo
    • International Journal of Contents
    • /
    • v.13 no.4
    • /
    • pp.63-69
    • /
    • 2017
  • The objective of this study was to investigate factors that could bring about successful implementation of extensive reading using online/offline blended English library system called 'Reading Gate' in primary and secondary schools. Although there are a great number of studies on effects of various extensive reading on linguistic, cognitive, and affective development, few studies have investigated how extensive reading programs can be implemented at large scale, e.g., whole school level. After analyzing students' reading levels in 200 schools using the same online extensive reading program called Reading Gate, results showed that while some schools were successful, others were not. Five primary and 13 middle schools were selected as successful schools. Data on implementation of the program of schools was gathered. Eighteen teachers and seven headteachers took part in the interview. After analyzing these data on the implementation of the extensive reading program, results revealed that the following five factors for successful implementation of blended extensive reading programs: online level-up system, teacher intervention, integration with the curriculum, school-level support, and parents' awareness of literacy. This suggests that each factor might have contributed to the successful implementation of the extensive reading program at large scale. Implications and applications of this finding are discussed in this study.

Effects of HACCP Implementation on an Industry Foodservice Operation in Daegu (대구지역 사업체급식소에 대한 HACCP 적용 효과)

  • 남은정;김미라;이연경
    • Journal of Nutrition and Health
    • /
    • v.36 no.2
    • /
    • pp.223-230
    • /
    • 2003
  • The purpose of this study was to evaluate the effects of HACCP implementation. The HACCP education was provided twice within one month to 20 employees of a contracted food service operation in Daegu. Critical control points (CCP) were determined based on food preparation processes: non-heating, preparation after heating, and heating. We evaluated the effects of HACCP implementation by checking microbiological quality, time and temperature at each of the CCPs during the receiving, preparation, cooking, and serving stages. After HACCP implementation, the biggest changes in microbiological qualities were in heated foods. At the cooking and serving stages, the microbiological qualities of heated foods improved to the standard levels. HACCP education helped employees ensure that the internal temperatures of the heated foods were kept higher than the standard (74 $^{\circ}C$) and the food holding temperature avoided the dangerous zone (5-6$0^{\circ}C$), thus lowering microbiological levels. At the serving stage, the microbiological levels of utensils also improved after HACCP education. This result strongly suggests that it is essential to educate employees in managing the temperature to treat foods safely. However, HACCP education didn't affect the microbiological levels of non-heated foods and foods prepared after heating, which continued to be higher than the standard. The reason for this was that poor microbiological quality seasonings were added to those types of foods. This indicates that seasoning factories as well as food service operations should implement HACCP to reduce hazards.

Implementation of the Module Risk Levels Measurement Tools for Web Application (웹 어플리케이션의 모듈위험수준 측정 도구의 구현)

  • Kim, Jee-Hyun;Park, Chel
    • Journal of the Korea Society of Computer and Information
    • /
    • v.7 no.2
    • /
    • pp.87-94
    • /
    • 2002
  • This paper implemented the tools to measure the risk of the modules for the web application project written in ASP, using the Indicator of the Module Risk Levels. The Indicator of that is developed by GSFC group in NASA based on structural programming language and gives us software product quality metrics. The implemented tools examined with the ASP projects of the practical business. As the results the data shows the module risk levels easily, and then the data affects the maintenance to improve the application quality.

  • PDF

A Case Study of ERP Implementation for PCB Manufacturer

  • Lo, Chan-Hsing;Lin, Yu-Hsin;Tsai, Chih-Hung;Li, Rong-Kwei
    • International Journal of Quality Innovation
    • /
    • v.4 no.1
    • /
    • pp.160-174
    • /
    • 2003
  • This study researched an enterprise resources planning (ERP) implementation project at a printed circuit board (PCB) manufacturer. In depth research was achieved by participating and observing in an implementation project at an actual PCB manufacturer. It is hoped that this study will contribute a valuable reference resource for future PCB manufacturers that wish to select or implement ERP systems. The first step in implementing ERP software is to set a clear target. At the same time, the tasks of each department and the system of cooperation between departments must be clearly defined. In this way, the cycle time of each flow and the accuracy of data will both be improved. In order to ensure smooth implementation of an ERP project, the followings are key factors: (1) an ERP system that suits the PCB industry; (2) effective project management; (3) effective project cost/budget control; (4) project problem management system; (5) comprehensive implementation method and information technology (IT), etc. By keeping to these principals, Company A achieved rapid transactions, and lower total cycle times and inventory levels, and other such benefits that had been predicted.

The Structure and The Implementation of Fully Interconnected ATM Switch (Part I : About The Structure and The Performance Evaluation) (완전 결합형 ATM 스위치 구조 및 구현 (I부 : 구조 설정 및 성능 분석에 대하여))

  • 김근배;김경수;김협종
    • The Journal of Korean Institute of Communications and Information Sciences
    • /
    • v.21 no.1
    • /
    • pp.119-130
    • /
    • 1996
  • This paper is the part I of the full study about improved structure of fully interconnected ATM switch to develop the small sized switch element and practical implemention of switch network. This part I paper describes about proposed switch structure, performance evaluations and some of considerations to practical implementation. The proposed structure is constructed of two step buffering scheme in a filtered multiplexer. First step buffering is carried out by small sized dedicated buffers located at each input port. And second step buffering is provided by a large sized common buffer at the output port. To control bursty traffic, we use speed up factor in multiplexing and priority polling according to the levels of buffer occupancy. Proposed structure was evaluated by computer simulation with two evaluation points. One is comparision of multiplexing discipline between hub polling and priority polling. The ogher is overall which should be considered to improve the practical implementation.

  • PDF

High School Students' Perceptions of Mathematics Teachers' Implementation of UDL-Based Practices and Technology in Mathematics Classes

  • Shin, Mikyung;Kang, Eunyoung;Lee, Okin
    • International Journal of Contents
    • /
    • v.17 no.2
    • /
    • pp.9-19
    • /
    • 2021
  • The purpose of this survey-based study was to investigate high school students' perceptions of mathematics teachers' implementation of Universal Design for Learning (UDL)-based practices and technology in their mathematics classes in 2017. A total of 303 high school students in South Korea participated in this online survey on teachers' use of technology for instructional practices, the frequency of technology tool use, and the meeting of UDL guidelines in mathematics instruction. According to frequency analysis, high school students generally perceived their teachers' mathematics teaching as somewhat positive in providing multiple means of representation, action and expression, and engagement. However, mathematics teachers' implementation of technology tools in their mathematics classes was generally limited. This study indicated significant and positive relationships between variables regarding the use of technology tools and teachers' efforts to follow the UDL guidelines. Applying the Chi-squared test, we further examined how each survey result differed according to high school students' academic achievements and grade levels.

Implementation of a Fuzzy PI+PD Controller for DC Servo Systems (직류 서보시스템 제어용 퍼지 PI+PD 제어기 로직회로 구현)

  • Hong, Soon-Ill;Hong, Jeng-Pyo;Jung, Sung-Hwan
    • Journal of Advanced Marine Engineering and Technology
    • /
    • v.33 no.8
    • /
    • pp.1246-1253
    • /
    • 2009
  • This paper presents derived a calculating form of fuzzy inference, based on decomposition of $\alpha$-level sets. Based on the calculating form it is propose that fuzzy logic circuits of PI+PD controller are a body from fuzzy inference to defuzzificaion in cases where the command variable u directly is generated PWM. The effect of quantization on $\alpha$-levels is investigated. with input/out characteristics of fuzzy controller by simulation. It is concluded that 4 quantization levels are sufficient result for fuzzy control performance of DC servo system. Simulation and experimental results demonstrated that the hardware implementation of the proposed controller can successfully provide good performance on the position control of DC servo system.

Two-dimensional DCT arcitecture for imprecise computation model (중간 결과값 연산 모델을 위한 2차원 DCT 구조)

  • 임강빈;정진군;신준호;최경희;정기현
    • Journal of the Korean Institute of Telematics and Electronics C
    • /
    • v.34C no.9
    • /
    • pp.22-32
    • /
    • 1997
  • This paper proposes an imprecise compuitation model for DCT considering QOS of images and a two dimensional DCT architecture for imprecise computations. In case that many processes are scheduling in a hard real time system, the system resources are shared among them. Thus all processes can not be allocated enough system resources (such as processing power and communication bandwidth). The imprecise computtion model can be used to provide scheduling flexibility and various QOS(quality of service)levels, to enhance fault tolerance, and to ensure service continuity in rela time systems. The DCT(discrete cosine transform) is known as one of popular image data compression techniques and adopted in JPEG and MPEG algorithms since the DCT can remove the spatial redundancy of 2-D image data efficiently. Even though many commercial data compression VLSI chips include the DCST hardware, the DCT computation is still a very time-consuming process and a lot of hardware resources are required for the DCT implementation. In this paper the DCT procedure is re-analyzed to fit to imprecise computation model. The test image is simulated on teh base of this model, and the computation time and the quality of restored image are studied. The row-column algorithm is used ot fit the proposed imprecise computation DCT which supports pipeline operatiions by pixel unit, various QOS levels and low speed stroage devices. The architecture has reduced I/O bandwidth which could make its implementation feasible in VLSI. The architecture is proved using a VHDL simulator in architecture level.

  • PDF