• 제목/요약/키워드: Lessons Learned

Search Result 333, Processing Time 0.023 seconds

Evidence-Based Practice in Neurological Physical Therapy (1) -Applying EBP to Clinical Decision Making- (신경계물리치료에서의 근거중심실기(1) -임상의사결정과정에 EBP 적용하기-)

  • Lee, Moon-Kyu;Lim, Jae-Heon;Kim, Tae-Yoon
    • PNF and Movement
    • /
    • v.14 no.3
    • /
    • pp.157-176
    • /
    • 2016
  • Purpose: The purpose of this study was to share an experience about processes and lessons learned to execute evidence-based practice (EBP) in neurological physical therapy. Methods: The most important thing in applying EBP to practice is to search, find, and appraise the existing evidence. Many evidence databases are available, such as CENTRAL, PEDro, PUBMED, and EMBASE. However, the knowledge represented in these databases is not always perfect. The practice model is a set of processes to resolve client problems. Therapists should make hypothesis-focused decisions through EBP. Integrating clinical reasoning and evidence is most important when it comes to the execution of EBP. Results: The process of EBP consisted of following: coming up with clinical questions, followed by searching for, appraising, evaluating, and integrating evidence. To integrate EBP into practice, it is necessary to consider clinical expertise, patient value and preferences, as well as research wth the best evidence. We provided an example of a clinical case with a stroke patient to show how this process and framework concerning clinical reasoning through evidences can be integrateds. During this process, we also utilized information technology to improve EBP ability. Conclusion: We should recognize what manner of information is needed to resolve eash patient's problem, and we should search for this information efficiently. Then, we should judge the value of the information obtained as it applies, to the clinical setting.

A Generating Cost Evaluation of APR+ Standard Design (APR+ 표준설계 발전원가 분석)

  • Ha, Gag-Hyeon;Kim, Sung-Hwan;Lee, Jae-Ho
    • Journal of Energy Engineering
    • /
    • v.23 no.4
    • /
    • pp.236-239
    • /
    • 2014
  • KHNP CRI has been developing APR+ nuclear power plant since 2007, which is GEN III+ model with 1500 MWe capacity. To develop safer and more economical nuclear power plant than APR1400, we investigated advanced design features of ALWR(advanced light water reactor) being constructed in Korea and being developed/constructed in foreign countries. We applied the advanced design features and lessons learned from Fukushima accident to develop APR+ standard design suitable for both domestic construction and overseas construction business. Three economic assessments have performed during standard design phase of APR+. The result of the 3th(final) economic analysis for APR+ standard design showed that APR+ N-th plant was about 23% more economical than coal-fired 1,000MW power plant.

Cytomorphologic Patterns of Breast Lesions in Sudanese Patients: Lessons Learned from Fine Needle Aspiration Cytology

  • Almobarak, Ahmed Omer;Elhassan, Taiseer Mohamed;Elhoweris, Mohamed Hassan;Awadalla, Heitham Mohammed;Elmadhoun, Wadie Mohamed Yasin;Ahmed, Mohamed Hassan
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.15 no.8
    • /
    • pp.3411-3413
    • /
    • 2014
  • Background: Cytology for breast lesions is a safe, rapid and cost-effective with a high specificity and sensitivity. Objective: To determine the cytomorphologic patterns of breast lesions identified among a group of Sudanese patients. Materials and Methods: This study included 759 patients undergoing either a fine needle aspiration FNA, nipple discharge (ND) smears or breast skin scraping (SS) at a cytology clinic in Khartoum. Clinical and demographic data were reviewed. Stained smears were categorized into: inadequate sample, normal breast, benign lesion, suspicious, or malignant neoplasm. Results: Of the 759 cases, 734 (96.71%) were FNA, 18 (2.37%) ND and 7 cases (0.92%) SS. For 28 cases, FNA was done under ultrasound guidance. Females were 720 (94.86%). Benign lesions were 423 (55.75%) and 248 (32.67%) were malignant and 77 (10.14%) of smears were normal without any detected abnormality. Ten (1.31%) cases were suspicious for malignancy, and only one case (0.13%) was reported as inadequate. Most lesions were observed among the age group 30 years and above. Conclusions: Most patients investigated have benign lesions, one third of cytological smears were malignant. FNAC is a useful tool for investigating breast lesions in limited-resource settings.

Lessons Learned from Eco-town Cases for Sustainable Development (지속가능한 발전을 위한 국제 에코타운개발 사례분석)

  • Chang, Hoon
    • KSCE Journal of Civil and Environmental Engineering Research
    • /
    • v.33 no.3
    • /
    • pp.1253-1260
    • /
    • 2013
  • Eco-town development projects have often prevailed throughout the World to initiate the new form of sustainable development plans. As a future development type, the eco-town project shares underlying notions with sustainable development, which has been recently revised into a wider definition; (i) energy efficiency, (ii) climate adaptation, and (iii) socio-economic development. There are four types of eco-town projects based on its characteristics and aims depending on project sites, regions, or countries. This paper tried to demonstrate the types of eco-town projects and summarizes its strategy plans from each type. Many eco-town cases can be placed in one of types, however there cannot be strictly discrete classification by its complicated and composite characteristics of them. In conclusion, the analyzed types can be a useful strategy plan for pursuing further eco-town projects in domestic as well as in international regions.

Prescription Errors with Chemotherapy: Quality Improvement through Standardized Order Templates

  • Saad, Aline;Der-Nigoghossian, Caroline A.;Njeim, Rachel;Sakr, Riwa;Salameh, Pascale;Massoud, Marcel
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.17 no.4
    • /
    • pp.2329-2336
    • /
    • 2016
  • Background: Despite the existence of established guidelines advocating the use and value of chemotherapy order templates, chemotherapy orders are still handwritten in many hospitals in Lebanon. This manuscript describes the implementation of standardized chemotherapy order templates (COT) in a Lebanese tertiary teaching hospital through multiple steps. Initial Assessment: An initial assessment was conducted through a retrospective appraisal of completeness of handwritten chemotherapy orders for 100 adult patients to serve as a baseline for the project and identify parameters that might afford improvement. Choice of solution: Development of over 300 standardized pre-printed COTs based on the National Comprehensive Cancer Network templates and adapted to the practice culture and patient population. Implementation: The COTs were implemented, using Kotter's 8-step model for leading change, by engaging health care providers, and identifying and removing barriers. Evaluation: Assessment of physicians' compliance with the new practice (122 orders assessed) was completed through two phases and allowed for the identification of areas of improvement. Lessons Learned: Overall, COT implementation showed an average improvement in order completion from 49.5% (handwritten orders) to 77.6% (phase 1-COT) to 87.6% (phase 2-COT) reflecting an increase of 38.1% between baseline and phase 2 and demonstrating that chemotherapy orders completeness was improved by pre-printed COT. As many of the hospitals in Lebanon are moving towards standardized COTs and computerized physician order entry (CPOE) in the next few years, this study provides a prototype for the successful implementation of COT and demonstrates their role in promoting quality improvement of cancer care.

Legacy System-Based Software Product Line Engineering: A Case Study on Cable Set-Top Box Software (기존 시스템 기반의 소프트웨어 제품라인 공학기법: 케이블 셋톱박스 소프트웨어 사례)

  • Choi, Hyun-Sik;Lee, Hye-Sun;Cho, Yoon-Ho;Kang, Kyo-Chul
    • Journal of KIISE:Software and Applications
    • /
    • v.36 no.7
    • /
    • pp.539-547
    • /
    • 2009
  • Software product line (SPL) engineering is an emerging paradigm for successful software reuse and has been adopted for various industrial and consumer products to improve their productivity and quality. However, most SPL methods require high initial costs and long development time, which makes many companies hesitate to adopt the SPL paradigm. In this paper we introduce a method to construct an SPL by extracting core assets from legacy components based on the feature model, which requires less initial time and effort. We also present a case study on cable set-top box software to illustrate the applicability of this method, and lessons learned that will provide guidelines for many companies to adopt the SPL paradigm.

OPENMP PARALLEL PERFORMANCE OF A CFD CODE ON MULTI-CORE SYSTEMS (멀티코어 시스템에서 쓰레드 수에 따른 CFD 코드의 OpenMP 병렬 성능)

  • Kim, J.K.;Jang, K.J.;Kim, T.Y.;Cho, D.R.;Kim, S.D.;Choi, J.Y.
    • Journal of computational fluids engineering
    • /
    • v.18 no.1
    • /
    • pp.83-90
    • /
    • 2013
  • OpenMP is becoming more and more useful as a simple parallel processing paradigm on SMP (Shared Memory Multi-Processors) computing environment with the development of multi-core processors. However, very few data is available publically regarding the OpenMP performance in CFD (Computational Fluid Dynamics). In the present study a CFD test suite is prepared for the performance evaluation of OpenMP on various multi-core systems. The test suite is composed of two-dimensional numerical simulations for inviscid/viscous and reacting/non-reacting flows using three different levels of grid systems. One to five test runs were carried out on various systems from dual-core dual threads to 16-core 32-threads systems by changing the number of threads engaged for each test up to 80. The results exhibit some interesting results and the lessons learned from the tests would be quite helpful for the further use of OpenMP for CFD studies using multi-core processor systems.

A Study on Land Policy and Land Law in Vietnam after 1945 (1945년 이후 베트남 토지법 및 토지정책에 관한 연구)

  • Lee, Seong Hwa;Trinh, Thi Kieu Trang
    • Journal of Cadastre & Land InformatiX
    • /
    • v.47 no.2
    • /
    • pp.255-275
    • /
    • 2017
  • In every country, land has always been considered a particularly important resource and property. For Vietnam, a populous country with a relatively narrow cultivated land, the land is even more valuable because property is scarce in the process of building and developing the nation. Therefore, land administration is highly valued by the Vietnamese government and is a big priority. The study of land law and land policy in Vietnam from 1945 to present is a comprehensive view of the changes in land administration policy in Vietnam in each historical period. The study also provides the experiences and lessons learned in the field of land law and land administration in a country that has risen from the ashes of war, has accomplished reunification and has transformed from a centrally-planned economy, a feature of the communist economy, to a socialist-oriented market economy.

A Study on Asset Valuation Method in Educational Facilities Delivered by BTL (BTL 사업 학교시설의 자산 가치평가 기법 연구)

  • Lee, Young-Joo;Soh, Ji-Yune;Lee, Jun-Bok;Han, Choong-Hee;Chae, Myung-Jin
    • Korean Journal of Construction Engineering and Management
    • /
    • v.12 no.4
    • /
    • pp.40-49
    • /
    • 2011
  • A number of BTL projects for educational facilities have been augmented because of the increase of newtown development and deflationary policy of class size for learning efficiency. As the operation and maintenance costs rapidly increase, the budget for operation and maintenance is expected to be short. Therefore the asset management maximizing asset value is required to clarify the budget plan and distribution and provide a qualitatively high service. The main objective of this research is to establish asset valuation process in educational facilities delivered by BTL project. In order to meet the research objective, the asset valuation process is established by literature reviews, expert advice, and lessons learned from the developed countries. The developed process includes depreciation by internal accounting law, the core element of valuation, and asset valuation process. The results of the research will be help to offer the qualitatively high service and explain the standard of budget plan. It will assist commencing the asset management system.

A study on Mass production stage Tank Battle Management System Environmental Stress Screening test method and application improvement based on Production process data (생산 공정 자료 기반 양산단계 전차 전장관리체계 환경 부하 선별 시험 방법 및 적용 개선에 관한 연구)

  • Kim, Jang-Eun;Shim, Bo-Hyun
    • Journal of Korean Society for Quality Management
    • /
    • v.43 no.3
    • /
    • pp.273-288
    • /
    • 2015
  • Purpose: In this study, we apply environmental stress screening (ESS) to battle management system (BMS) of a tank and use the ESS profile based on production process data, guided by MIL-HDBK-781/344/2164. Methods: To optimize ESS Profile of the BMS of a tank, we estimate ESS model parameters (e.g., defect density, screening strength) using primary production failure reporting and corrective action system (FRACAS) data of military supply contract firm. Results: First, we collect the Primary production FRACAS data of military supply contract firm. Second, we compute curve fitting approach to find patent defect density and latent defect density using FRACAS data. Third, we solve the equation of Defect Density(patent defect density + latent defect density)($D_{IN}$) and Screening Strength(SS) Using second step data. As a result of analysis according to the order, we calculate $D_{IN}$(Temperature stress case : 74.02, Vibration stress : 10.252) and : SS(Temperature stress case : 0.4632, Vibration stress : 0.4142) and confirm the Condition II-D based on MIL-HDBK-344. According to Condition II-D, it is necessary to modify existing ESS profile through decreasing the $D_{IN}$ and increasing the SS. Conclusion: Identification of defect causes through ESS approach reduce defect densities for production. It provides feedback to a lessons-learned data base to avoid similar problems on next generation tank BMS.