• Title/Summary/Keyword: Quality 4.0

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Evaluation of Radiation Dose and Image Quality Between Manual and Automatic Exposure Control Mode According to Body Mass Index in Cardiac CT (체질량지수에 따른 심장 CT검사의 수동노출조절 방법과 자동노출조절 방법의 방사선량 및 화질 평가)

  • Kim, Hyeong-Jin;Moon, Il-Bong;Han, Jae-Bok;Choi, Nam-Gil;Jang, Seong-Ju
    • The Journal of the Korea Contents Association
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    • v.13 no.4
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    • pp.290-299
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    • 2013
  • This study included 198 patients who underwent prospectively electrocardiogram-triggered high-pitch spiral mode(FLASH mode) in cardiac CT for health check: 123 patients who underwent manual exposure control(Group A) and 75 patients who underwent automatic exposure control(Group B). Patients were classified according to BMI grades: Grade 1, Grade 2, Grade 3, Grade 4. Radiation dose, objective and subjective image quality between two groups were compared. In Group B, tube voltage were significantly decreased in all BMI grades. Both $CTDI_{vol}$ and effective dose were significantly reduced in the BMI Grade 1, 3, and 4 whereas they were slightly reduced in the Grade 2(p>0.05), SNR was significantly decreased in the Grade 1 and increased in the Grade 3(p<0.05), but there was no significant difference in the Grade 2, 4 between the two groups(p>0.05). CNR was significantly decreased in the Grade 1(p<0.05), and there was no significant difference in the Grade 2, 3, 4 between the two groups(p>0.05). The subjective image quality showed no significant difference in all BMI Grades between the two groups(p>0.05). Automatic exposure control can lead to a significant reduction of radiation exposure dose without degradation of subjective image quality.

Optimization of Synthetic Parameters for Mesoporous Molecular Sieve MCM-41 Using Surfactant CTAC1

  • 박동호;Cheng, Chi Feng;Jacek Klinowski
    • Bulletin of the Korean Chemical Society
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    • v.18 no.4
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    • pp.379-384
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    • 1997
  • High quality MCM-41 is prepared from a gel of molar composition SiO2:0.20 CTACl:0.18 TMAOH:25 H2O aged at 20 ℃ for 24 hours before crystallization lasting for 48 hours. The (110) and (200) peaks of XRD pattern of high quality MCM-41 are unusually well resolved and the FWHM (full-width-at-half-maximum) of the (100) peak is 0.13° for as-prepared MCM-41 and 0.21° for calcined one, which indicate well-developed crystals. The properties of the crystal depend on the source and concentration of the reactants and the gel aging time. There is no induction period in the course of the synthesis, which is conveniently monitored by pH measurement. Gel aging, during which a spatial distribution of silicate polyanions and micellar cations is established, is essential for preparing high quality MCM-41. Surfactants with the same cationic organic group but different counteranions change the crystallization behavior. Highly basic gel (pH=12.6) favours the lamellar product; the quality of MCM-41 is lower as insufficient TMAOH is available to dissolve the silica.

Development of Quality Management Standards and Evaluation Tool for the Quality Improvement of Hospital Food and Nutrition Services (병원 급식.영양 서비스 향상을 위한 질 관리 기준 및 질 평가 도구의 개발)

  • 이소정
    • Journal of Nutrition and Health
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    • v.33 no.5
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    • pp.548-555
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    • 2000
  • The purpose of this study were to : a) establish quality managements standards and performance indicators in order to define the concept of the hospital food and nutrition services, b) develop a self evaluation tool for quality management applicable to dietetic department's CQI program on the basis of the estabilished quality management standers, c) investigate the factual quality of hospital food and nutrition services throught the result of the application study of the quality management tool and the perceived quality by the patients servery, and d) verify the validity of the quality management tool through analysing the correlation between the factual quality and the preceived quality. The quality management standards were classifie dinto 3 parts, 'Nutrition Care', 'Foodservice Operation', and 'Management Function'. There consisted of 72 quality management standards and 293 performance indicators. The developed quality evaluation tool using 5-Likert scale was performance at 45 general hospitals over 400 beds in Seoul and Kyungki-do. Also, 1,573 patients in 42 hospitals were participated in the patient survey. The result of quality evaluation tool application study showed that 17 standards were relatively high(more than 4.5) and 22 relatively low(less than 4.0) in score. The categorical mean scores of $\ulcorner$Nutrition Care$\lrcorner$, $\ulcorner$Foodservice Operation$\lrcorner$and $\ulcorner$Management Function$\lrcorner$ were respectively 60.7, 162.8, and 73.5 Each mean score was conversed to 81.0, 83.5, and 81.7 on the basis of 100 point scale, but the range of score was very wide between hospitals. The Cronbach's $\alpha$ was more than 0.6 in 59 quality management standards, this result verified reliability of the quality management tool was proved. The factual quality showed positive correlation with the perceived quality. Therefore, this result verified the criterion validity of the quality management tool.

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Effects of different ratios and storage periods of liquid brewer's yeast mixed with cassava pulp on chemical composition, fermentation quality and in vitro ruminal fermentation

  • Kamphayae, Sukanya;Kumagai, Hajime;Angthong, Wanna;Narmseelee, Ramphrai;Bureenok, Smerjai
    • Asian-Australasian Journal of Animal Sciences
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    • v.30 no.4
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    • pp.470-478
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    • 2017
  • Objective: This study aims to evaluate the chemical composition, fermentation quality and in vitro ruminal fermentation of various ratios and storage periods of liquid brewer's yeast (LBY) mixed with cassava pulp (CVP). Methods: Four mixtures of fresh LBY and CVP were made (LBY0, LBY10, LBY20, and LBY30 for LBY:CVP at 0:100, 10:90, 20:80, and 30:70, respectively) on a fresh matter basis, in 500 g in plastic bags and stored at 30 to $32^{\circ}C$. After storage, the bags were opened weekly from weeks 0 to 4. Fermentation quality and in vitro gas production (IVGP) were determined, as well as the dry matter (DM), organic matter (OM), crude protein (CP), ether extract (EE), neutral detergent fiber, acid detergent fiber and acid detergent lignin contents. Results: The contents of CP and EE increased, whereas all other components decreased, in proportion to LBY inclusion (p<0.01). The DM and OM contents gradually decreased in weeks 3 and 4 (p<0.05), while EE contents were lowest in week 0. The pH, ammonia nitrogen per total nitrogen ($NH_3-N/TN$) and V-score in each mixture and storage period demonstrated superior fermentation quality ($pH{\leq}4.2$, $NH_3-N/TN{\leq}12.5%$, and V-score>90%). The pH increased and $NH_3-N/TN$ decreased, with proportionate increases of LBY, whereas the pH decreased and $NH_3-N/TN$ increased, as the storage periods were extended (p<0.01). Although IVGP decreased in proportion to the amount of LBY inclusion (p<0.01), in vitro organic matter digestibility (IVOMD) was unaffected by the mixture ratios. The highest IVGP and IVOMD were observed in week 0 (p<0.01). Conclusion: The inclusion of LBY (as high as 30%) into CVP improves the chemical composition of the mixture, thereby increasing the CP content, while decreasing IVGP, without decreasing fermentation quality and IVOMD. In addition, a preservation period of up to four weeks can guarantee superior fermentation quality in all types of mixtures. Therefore, we recommend limiting the use of CVP as a feed ingredient, given its low nutritional value and improving feed quality with the inclusion of LBY.

Quality of Life among Breast Cancer Patients In Malaysia

  • Ganesh, Sri;Lye, Munn-Sann;Lau, Fen Nee
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.4
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    • pp.1677-1684
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    • 2016
  • Background: Among the factors reported to determine the quality of life of breast cancer patients are socio-demographic background, clinical stage, type of treatment received, and the duration since diagnosis. Objective: The objective of this study was to determine the quality of life (QOL) scores among breast cancer patients at a Malaysian public hospital. Materials and Methods: This cross-sectional study of breast cancer patients was conducted between March to June 2013. QOL scores were determined using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and its breast cancer supplementary measure (QLQ-BR23). Both the QLQ-C30 and QLQ-BR23 assess items from functional and symptom scales. The QLQ-C30 in addition also measures the Global Health Status (GHS). Systematic random sampling was used to recruit patients. Results: 223 breast cancer patients were recruited with a response rate of 92.1%. The mean age of the patients was 52.4 years (95% CI = 51.0, 53.7, SD=10.3). Majority of respondents are Malays (60.5%), followed by Chinese (19.3%), Indians (18.4%), and others (1.8%). More than 50% of respondents are at stage III and stage IV of malignancy. The mean Global Health Status was 65.7 (SD = 21.4). From the QLQ-C30, the mean score in the functioning scale was highest for 'cognitive functioning' (84.1, SD=18.0), while the mean score in the symptom scale was highest for 'financial difficulties' (40.1, SD=31.6). From the QLQ-BR23, the mean score for functioning scale was highest for 'body image' (80.0, SD=24.6) while the mean score in the symptom scale was highest for 'upset by hair loss' (36.2, SD=29.4). Two significant predictors for Global Health Status were age and employment. The predictors explained 10.6% of the variation of global health status ($R^2=0.106$). Conclusions: Age and employment were found to be significant predictors for Global Health Status (GHS). The Quality of Life among breast cancer patients reflected by the GHS improves as age and employment increases.

Studies on Quality of Silage form Domestic Herbage III. Effects of starch addition on the quality of Kudzu silage (야초 사일리지의 품질향상에 관한 연구 III. 칡 사일리지에 있어서 전분첨가효과)

  • 김종쾌;황태기;김대진
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.10 no.1
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    • pp.48-54
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    • 1990
  • In order to investigate effects of starch addition on the fermentative quality and dry matter digestibility (DMD) of Kudzu, Puerarie thunbergii Bentham plants were ensiled by the conventional method in small experimental plastic silo of 7.5 liter with different levels of starch addition. The fermentative quality, neutral detergent fiber (NDF), acid detergent fiber (ADF), and acid detergent lignin (ADL) of silage were determined by chemical analysis, and in vitro dry matter digestibility (DMD) by pepsin-cellulase technique. Total digestibile nutrients (TDN), digestible energy (DE) and metabolizable energy (ME) were calculated with DMD. The results obtained were as follows; 1. Acetate, butyrate, PH, NDF, ADF, and ADL of Kudzu silage were reduced with increasing of starch addition but the contents of lactate and total acid were increased. 2. The DMD was marked 47.5, 49.5, 51.2, 57.9 and 62.0 % under starch addition with a rate of 0, 2, 4, 6 and 8 %, respectively. 3. TDN, DF and ME were increased with high rate of starch addition. 4. The regression equation and correlation of Kudzu silage between level of starch (X) and DMD (Y) were Y= 41.6 + 1.86 X (I= 0.96, P < 0.01), of silage between Flieg's score (X) and DMD (Y) were Y= 41.6 + 0.23 X (I= 0.96, P < 0.01) and of silage between level of starch (X) and Flieg's score (Y) were Y= 21.3 + 7.97 X (I= 0.97, P < 0.01), respectively.

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Quality Characteristics of Mung Bean Starch Jellies Made with Different Levels of White Lotus Steam Juice (연줄기 즙을 첨가한 청포묵의 품질 특성)

  • Kim, Eun-Mi
    • Journal of the East Asian Society of Dietary Life
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    • v.19 no.6
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    • pp.943-949
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    • 2009
  • The objective of this study was to evaluate the quality characteristics of mung bean starch jellies prepared with additions of white lotus steam juice at differing levels (0, 2, 4, 6, 8 mL). The proximate composition of the lotus steam juice was $96.37{\pm}0.04\;g/100\;g$ for moisture, $0.75{\pm}0.01\;g/100\;g$ for crude protein, $0.24{\pm}0.01\;g/100\;g$ for crude fat, and $1.90{\pm}0.07\;g/100\;g$ for crude ash. As the level of lotus steam juice increased, the moisture contents and, L, a and b values of the jellies increased (p<0.05). However, the L value of the WSL8 group did not differ significantly. According to the mechanical evaluation results, hardness values of the WSL4 and WSL6 groups were increased (p<0.05), whereas, cohesiveness, gumminess and adhesiveness were not significantly different among the groups. Springiness was higher (p<0.05) in the WSL8 group compared to the other groups, and, chewiness was higher (p<0.05) in the WLS6, and WSL8 groups than in the WSL2 group. According to the sensory evaluations, the mung bean starch jellies prepared with 4~6 mL of lotus steam juice received the highest preference scores and were therefore chosen as optimal products.

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Effects of Cellulase and Brewers' Grains Addition on the Fermentation Quality and Nutritive Value of Barley Straw Silage

  • Ridla, M.;Uchida, S.
    • Asian-Australasian Journal of Animal Sciences
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    • v.10 no.6
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    • pp.575-580
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    • 1997
  • Two experiments were carried out to evaluate the effects of cellulase and brewers' grains addition on improvement of the fermentation quality and the nutritive value of barley straw silages made from dried or fresh straw. In Exp. I : 1 kg dried barley straw + 2 kg wet brewers' grains + 0 (I-0), 2 (I-2), 4 (I-4), 6 (I-6), and 8 (I-8) g of cellulase. In Exp. II : 2 kg fresh barley straw + 2 kg wet brewers' grains + 0 (II-0), 2 (II-2), 4 (II-4), 6 (II-6), and 8 (II-8) g of cellulase. Each prepared material was ensiled into vinyl bag silos (5 L capacity) and stored for 10 (Exp. I) or 7 (Exp. II) months at $21^{\circ}C$. The fermentation quality and nutritive value of barley straw silages produced were markedly improved by mixing them with wet brewers' grains, on the other hand the effect of cellulase addition on the fermentation and reduction of the cell wall components in the silos at ensiling more effectively occurred at low dry matter silages rather than at the high ones. All silages in both Exp. I and II were found well preserved as indicated by their low pH and high lactic acid concentration. Cellulase treated silages had a lower pH (p<0.05) and a higher lactic acid concentration (p<0.05) than those of without cellulase addition. NDF, ADF, and (Hemi)cellulose contents of cellulase treated silages reduced (p<0.05) compare to those of the corresponding silage without cellulase. Increasing levels of cellulase addition caused an increase in fermentation quality and reduction of cell wall components. In vitro dry mater digestibility was found similar in all silages. Fermentation quality and nutritive value of barley straw silages were improved by both wet brewers' grains and cellulase addition. Cellulase addition reduced the cell wall components silages, but did not improve the digestibility.

Burden and Quality of Life in Main Caregivers of Cancer Patients Treated with Chemotherapy (화학요법을 받는 암환자 주보호자의 부담감과 삶의 질)

  • Na, Duck-Mi;Chung, Young;Yang, Kyung-Mi
    • Research in Community and Public Health Nursing
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    • v.14 no.4
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    • pp.686-698
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    • 2003
  • Purpose: This is a descriptive correlation study purposed to provide basic data for comprehensive nursing care by analyzing the relationship between the burden and the quality of life of family caregivers of cancer patients treated with chemotherapy. Methods: As for the subjects of this study, 66 family caregivers who take care of cancer patients hospitalized and treated with chemotherapy participated in the research. The tool of this study was a structured questionnaire including questions concerning burden(19 items) and the quality of life(33 items). Collected data were analyzed using SPSS PC+ program through descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple linear regression. Results: 1) The mean score of burden was 2.6383. The mean score of quality of life was 3.3034. These score show that family caregivers perceive a moderate level of burden and the quality of life. 2) Family caregivers' burden was significantly related to symptoms in the cancer patient (r= 0.3501, P=0.0042) and family caregivers(r= 0.5340, P=0.0001). Family caregivers' quality of life was significantly related to symptoms in the cancer patient(r= -0.3528, P=0.0039) and family caregivers(r= -0.5472, P=0.0001). According to the result of examining' the relationship between burden and the quality of life, there was a statistically negative correlation(r= -0.6326, P=0.0001). 3) 'Family income after the onset of the patient' was the most important predictor of the burden of family caregivers($R^2$=0.158). 'Usual relationship with the patient' was the most important predictor of the quality of life of family caregivers($R^2$=0.138). Conclusions: The results presented above indicate that we must consider burden of family caregivers and symptoms experienced by them in order to improve the quality of life of family caregivers of cancer patients treated with chemotherapy.

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Correlations among Sleep Quality, Depression and Satisfaction with Enrolled in the Nursing College Students (간호대 재학생의 수면의 질, 우울, 학과만족도 간의 상관관계 연구)

  • Jeong, Gyeongsun;Park, Euijeung
    • Journal of The Korean Society of Integrative Medicine
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    • v.4 no.3
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    • pp.93-100
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    • 2016
  • Purpose : The purpose of this research is to measure the correlations among sleep quality, depression and department satisfaction in the students enrolled in the nursing college located in the B city. Method : 268 students enrolled in the nursing college located in the B city participated in this research from the 1st May 2016 to the 31st May 2016. SPSS 18.0 was applied to the collected data to calculate the frequency, percentage, average and standard deviation. In addition, t-test, ANOVA, Scheffe test and Pearson correlation coefficient were used for the analysis. Result : The result of the average sleep quality, depression and department satisfaction in the nursing college students were measured to be $2.41{\pm}0.57$, $3.59{\pm}0.50$ and $3.56{\pm}0.57$ respectively. The sleep quality based on the general characteristics indicated a significant difference when applied to the health status(F=4.46, p=.012). The depression indicated a significant difference when applied to the living with parents(t=-2.18, p=.030) and relationship with friends(F=8.62, p=.000). The department satisfaction indicated a significant difference when applied to the grade(F=3.45, p=.017), personality(F=3.46, p=.033), and reason for applying for their department(F=2.49, p=.044). As a result of analyzing the correlations among sleep quality, depression and department satisfaction in the nursing college students, the sleep quality indicated a negative correlation with the depression(r=-.528, p=.000) and a positive correlation with the department satisfaction(r=.144, p=.018). The depression indicated a negative correlation with the department satisfaction(r=.119, p=.051). Conclusion : It is necessary to conduct a replication research by increasing the number of the research subjects. In addition, it is necessary to conduct a systematic research on the factors influential on sleep quality, depression and department satisfaction in order to develop a program capable of enhancing the sleep quality and decreasing the depression.