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

  • 장상우;김남용;최호성;박용원;추경복;윤근영
    • 대한임상검사과학회지
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    • 제36권2호
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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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면역비탁법에 의한 HbA1c의 참고범위 설정 (Obtaining Reference Intervals of HbA1c by Immunoturbidimetry)

  • 김재섭;박기현;유선우;이범희
    • 대한임상검사과학회지
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    • 제41권2호
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    • pp.62-66
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    • 2009
  • HbA1c is the major fraction of glycated hemoglobin, and used primarily to identify the average plasma glucose concentration over prolonged periods of time, mostly 2-3 months. It is used as markers for the diagnosis and monitoring of diabetic patients and increasingly used a marker in health screening check up for general populations. In this study, HbA1c was measured with Cobas integra 800 (Roche Diagnostics, Mannheim, Germany), using immunoturbidimetry principles. We established the reference interval for HbA1c with Cobas integra 800 and evaluated its significance. The study subjects were 36,140 (male 57.5%, and female 42.2%) who visited the Health Promotion Center of a tertiary care center in Seoul for health checkup from January to September, 2008. HbA1c levels were measured with immunoturbidimetric method. Statistical evaluation was done with SPSS. Comparison between male and female was checked with Mann-Whitney test, and among age groups with Kruskal-Wallis test. Reference interval for HbA1c was from 4.8% to 6.1%. There was no significant difference between male and female with Mann-Whitney test (P=0.539). There was significant difference among age groups with Kruskal-Wallis test (P<0.05). Reference interval for HbA1c with Cobas integra 800 was 4.8~6.1%, which was different from conventional one, 4.4-6.4%. Establishment of reference interval for each principle is needed.

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Development of nutrient-based nutritional standards for foodservice at shelters during disasters in the Republic of Korea

  • Satoko Abe;Meeyoung Kim;Jihyun Yoon
    • Nutrition Research and Practice
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    • 제17권1호
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    • pp.135-148
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    • 2023
  • BACKGROUND/OBJECTIVES: In times of disaster, simplified and minimized nutritional standards are necessary for a quick response to provide nutritious relief food. This study aimed to develop nutrient-based nutritional standards for foodservice at shelters during disasters in the Republic of Korea (South Korea). SUBJECTS/METHODS: The standards were developed in 2 phases. First, nutrients to be included in the standards were selected. Initial candidates were selected considering 3 aspects: preceding standards, insufficient intake during disasters, and inadequate intake among South Koreans. Final selection was made by excluding nutrients for 3 reasons: nutrients for which there is no deficiency concern in South Korea, nutrients whose intake data were not available, or nutrients whose values presented by Dietary Reference Intakes for Koreans are difficult to achieve based on the current diet among South Koreans. Second, the reference values of energy and the selected nutrients were calculated. The reference values for the entire population who were 1-year-old and over were calculated by multiplying the estimated energy requirements or the recommended nutrient intake and the proportion of each age and sex group. Respective reference values were also calculated for 4 different age groups (1-5, 6-11, 12-64, and ≥ 65-year-old). RESULTS: The standards for the entire population were 2,000 kcal for energy, 55 g for protein, 650 ㎍ retinol activity equivalents for vitamin A, 95 mg for vitamin C, 1.1 mg for thiamin, 1.3 mg for riboflavin, 14 mg niacin equivalents for niacin, 350 ㎍ dietary folate equivalents for folic acid, 750 mg for calcium, and 11 mg for iron. Four additional standards corresponding to each age group were developed. CONCLUSIONS: The nutritional standards during disasters were developed for South Korea, including energy and 9 nutrients with reference values for the entire population and 4 different age groups. The standards will contribute to maintaining the health of disaster evacuees in South Korea.

코드클론 표본 집합체 자동 생성기 (Automatic Generation of Code-clone Reference Corpus)

  • 이효섭;도경구
    • 한국소프트웨어감정평가학회 논문지
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    • 제7권1호
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    • pp.29-39
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    • 2011
  • 프로그램 내의 코드클론을 찾아주는 도구나 기술들을 평가하기 위해서는 해당 도구가 탐지하는 못하는 클론이 있는지 확인해야 한다. 이를 위해서 샘플 소스코드에 대해서 코드클론을 모두 모아놓은 표준 표본 집합체가 필요하다. 그런데 기존의 코드클론 표본 집합체는 여러 클론탐지 도구의 결과들을 참조해 수작업으로 구축하지만 평가 기준으로 사용하기에는 빠져있는 표본이 많다. 본 연구에서는 자동으로 코드클론 표본 집합체를 생성하는 방법을 제안하고 도구를 구현하였다. 이 도구는 프로그램 소스를 핵심구문트리로 변환한 뒤, 트리를 샅샅이 비교하여 클론 패턴을 찾아낸다. 본 도구는 오탐이 없으며, 특정한 패턴을 제외하고 미탐도 없어서 코드클론 표본 집합체를 자동으로 생성하기 적합하다. 실험결과 상용도구인 CloneDR에서 찾아낸 클론을 모두 포함하면서 2-3배 더 많은 클론들을 찾아내었고, Bellon의 기존 표본 집합체의 클론들을 거의 대부분 포함(93-100%)하면서 자동 구축한 표본 집합체의 크기가 훨씬 크다.

Cutaneous Xanthoma in a Dog

  • Yeonhoo Jung;Moonseok Jang;Rahye Kang;Wanghui Lee;Seongjun Park
    • 한국임상수의학회지
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    • 제40권5호
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    • pp.382-386
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    • 2023
  • A 2-year-old, 12.5 kg, castrated male, mixed-breed dog was presented with a 1-year history of pruritus and progressive alopecia. On physical examination, no remarkable findings were detected including body condition score (5/9). A dermatological examination of the dog revealed generalized erythema, papules or plaques, especially on the face, auricle, dorsum, and shoulder. A fine-needle aspiration of the dorsum and face lesions revealed various numbers of macrophages with foamy cytoplasm and multinucleated giant cells. A bacterial culture test showed the growth of Staphylococcus pseudintermedius. A complete blood cell count was unremarkable and biochemical abnormalities included hyperglobulinemia (4.8 g/dL, reference interval 2.5-4.5 g/dL), mild hypertriglyceridemia (277 mg/dL, reference interval 10-100 mg/dL) and mild hypercholesterolemia (383 mg/dL, reference interval 110-320 mg/dL). Additional diagnostic tests were performed to identify the underlying cause of hyperlipidemia. Canine pancreatic lipase immunoreactivity (<50 ng/mL, reference interval 0-200 ng/mL) and total T4 (1.4 ㎍/dL, reference interval 1.1-5.6 ㎍/dL) were within the reference intervals. For a definitive diagnosis, skin biopsy specimen was collected from the papular lesions on the dorsum by using a 4 mm biopsy punch. A histopathological examination revealed numerous large macrophages with abundant foamy cytoplasm in the dermis. The foamy macrophages were located diffusely between the collagen fibers. Extracellular amorphous lipid deposits were also presented in the dermal tissue. A definitive diagnosis of cutaneous xanthoma was made based on clinical signs and cytological and histopathological results.

RTK-GPS의 지적측량에 효율적 적용 연구 (A Study on the Efficient Application for Cadastral Surveying of RTK-GPS)

  • 홍성언;이우화
    • 한국산학기술학회논문지
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    • 제13권1호
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    • pp.59-65
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    • 2012
  • 본 연구에서는 기준국을 달리함으로써 관측 횟수를 달리하여 RTK-GPS 측량을 시행하여 보고 이에 대한 정확도 분석을 토대로 지적측량에 효율적인 적용 방안을 제시하여 보고자 하였다. 실험지역을 선정하고 기준국을 달리하여 관측 후 기존 TS 성과와 비교한 결과, 제1기준국은 X좌표의 RMSE가 ${\pm}0.024m$, Y좌표의 RMSE가 ${\pm}0.016m$로 산출되었고, 제2기준국은 X좌표의 RMSE가 ${\pm}0.040m$, Y좌표의 RMSE가 ${\pm}0.029m$로 산출되었다. 이는 모두 현행 지적법령에서 규정하고 있는 성과인정 범위 이내의 오차이고, 더불어 두 성과의 차이는 크지 않았다. 따라서 GPS 위성자료 수신에 장애가 없다면 1회 관측으로도 충분히 안정적인 성과의 취득이 가능한 것으로 나타났다. 다만, 측량 환경에 따라 주변에 수신에 제약을 받는 요소가 있다면 이러한 지역에 대해서는 성과의 안정적인 취득을 위해 2회 이상의 관측이 필요할 것으로 판단된다.

Double-Chambered Right Ventricle in an Old Standard Poodle Dog

  • Yunho Jeong;Yoonhwan Kim;Eunchan Lee;Ju-Hyun An;Sooyoung Choi;Jin-Young Chung;Jin-Ok Ahn
    • 한국임상수의학회지
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    • 제40권2호
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    • pp.130-134
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    • 2023
  • A 12-year-old Standard Poodle presented with intermittent weakness and occasional dyspnea at the Veterinary Medicine Teaching Hospital of Kangwon National University. A grade of 4 out of 6 systolic murmur with an irregular tachycardic rhythm was auscultated on both sides of the chest. Systolic blood pressure was 140 mmHg. Panting was noticed in the hospital, but there was no crackle sound. Blood analysis revealed mild increases in liver panel levels (alanine aminotransferase 149 [reference interval, 19-70] U/L; and alkaline phosphatase, 185 [reference interval, 15-127] U/L) and severe increases in cardiac biomarker levels (n-terminal pro-brain natriuretic peptide, 4169 [reference interval, 50-900] pmol/L; and cardiac troponin I, 0.22 [reference interval, 0.03-0.12] ng/mL). On electrocardiography, irregularly irregular supraventricular tachycardic rhythm with an f-wave and no distinct p-wave was observed. Generalized cardiomegaly with an enlarged right atrium and left ventricle was confirmed on thoracic radiography. Moreover, hepatomegaly and an enlarged caudal vena cava were observed. Echocardiographic evaluation revealed a fibromuscular diaphragm in the right ventricle. Because of the obstructive lesion in the right ventricle, the right atrium and ventricle were enlarged (right atrial area index, 38.82 cm2/m2 [reference interval, 4.2-10.2 cm2/m2]; right ventricle end-diastolic area index, 14.152 cm2/m2 [reference interval, 4.9-10.92 cm2/m2]). Accordingly, the patient was diagnosed with double-chambered right ventricle (DCRV). Pimobendan, furosemide, enalapril, diltiazem, and S-adenosylmethionine (SAMe) were prescribed, and all symptoms were relieved. DCRV is a right-sided congenital heart defect resembling pulmonic valve stenosis. If symptoms are not severe, medical therapy can be facilitated without surgery or the balloon dilation.

블록 참조 패턴의 특성 분석과 자동 발견 (Characteristics and Automatic Detection of Block Reference Patterns)

  • 최종무;이동희;노삼혁;민상렬;조유근
    • 한국정보과학회논문지:시스템및이론
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    • 제26권9호
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    • pp.1083-1095
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    • 1999
  • 최근 처리기와 입출력 시스템의 속도 차이가 점점 커짐에 따라 버퍼 캐쉬의 효율적인 관리가 더욱 중요해지고 있다. 버퍼 캐쉬는 블록 교체 정책과 선반입 정책에 의해 관리되며, 각 정책은 버퍼 캐쉬에서 블록의 가치 즉 어떤 블록이 더 가까운 미래에 참조될 것인가를 결정해야 한다. 블록의 가치는 응용들의 블록 참조 패턴의 특성에 기반하며, 블록 참조 패턴의 특성에 대한 정확한 분석은 올바른 결정을 가능하게 하여 버퍼 캐쉬의 효율을 높일 수 있다. 본 논문은 각 응용들의 블록 참조 패턴에 대한 특성을 분석하고 이를 자동으로 발견하는 기법을 제안한다. 제안된 기법은 블록의 속성과 미래 참조 거리간의 관계를 이용해 블록 참조 패턴을 발견한다. 이 기법은 2 단계 파이프라인 방법을 이용하여 온라인으로 참조 패턴을 발견할 수 있으며, 참조 패턴의 변화가 발생하면 이를 인식할 수 있다. 본 논문에서는 8개의 실제 응용 트레이스를 이용해 블록 참조 패턴의 발견을 실험하였으며, 제안된 기법이 각 응용의 블록 참조 패턴을 정확히 발견함을 확인하였다. 그리고 발견된 참조 패턴 정보를 블록 교체 정책에 적용해 보았으며, 실험 결과 기존의 대표적인 블록 교체 정책인 LRU에 비해 최대 57%까지 디스크 입출력 횟수를 줄일 수 있었다.Abstract As the speed gap between processors and disks continues to increase, the role of the buffer cache located in main memory is becoming increasingly important. The buffer cache is managed by block replacement policies and prefetching policies and each policy should decide the value of block, that is which block will be accessed in the near future. The value of block is based on the characteristics of block reference patterns of applications, hence accurate characterization of block reference patterns may improve the performance of the buffer cache. In this paper, we study the characteristics of block reference behavior of applications and propose a scheme that automatically detects the block reference patterns. The detection is made by associating block attributes of a block with the forward distance of the block. With the periodic detection using a two-stage pipeline technique, the scheme can make on-line detection of block reference patterns and monitor the changes of block reference patterns. We measured the detection capability of the proposed scheme using 8 real workload traces and found that the scheme accurately detects the block reference patterns of applications. Also, we apply the detected block reference patterns into the block replacement policy and show that replacement policies appropriate for the detected block reference patterns decreases the number of DISK I/Os by up to 57%, compared with the traditional LRU policy.

국내 표준연료(휘발유) 도입 필요성 검토 연구 (A feasibility study on Introducing the Reference Fuel(Gasoline) for Testing Vehicles in South Korea)

  • 강형규;성상래;송호영;황인하;하종한;나병기
    • 한국응용과학기술학회지
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    • 제33권4호
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    • pp.824-835
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    • 2016
  • 2015년 기준 자동차 등록대수는 약 2,100만대를 넘어 1가구당 1.07대를 보유하고 있는 실정이나[1], 국내 자동차용 표준연료에 대한 기준은 부재한 상황이다. 자동차용 표준연료(reference fuel)는 차량의 연비와 배출가스를 인증하거나 새로운 자동차를 개발할 때 차량의 성능 등을 평가하기 위해 사용하는 연료를 의미한다. 현재 국내에는 차량의 배출가스, 성능, 연비시험 등을 위해 유통연료를 사용하고 있으며, 유통연료는 석유 및 석유대체연료사업법과 대기환경보전법 상의 품질기준을 만족하지만 각 제조사의 원료와 공정 등에 따라 연료의 물성차이가 있어 차량 시험 시 편차가 발생할 수 있다. 본 연구에서는 국내 유통되는 휘발유 품질모니터링 분석결과를 바탕으로 표준연료 기준(안)을 설정하고, GDI와 MPI 연료 분사 방식의 차량에 적용하여 비교 평가한 결과, 실제 유통연료를 사용했을 때 최대 3.8%까지 발생하는 연비차이가 1.1%까지 감소함을 확인할 수 있었다.