• Title/Summary/Keyword: Quality 4.0

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The Influence of Physical Activity and Depression on Sleep Quality in Community-dwelling Older Adults: A Comparison between Young-old and Old-old (신체활동과 우울이 지역사회 거주 노인의 수면의 질에 미치는 영향: 전기노인과 후기노인의 비교)

  • Kim, Ahrin
    • Journal of Korean Biological Nursing Science
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    • v.17 no.4
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    • pp.287-296
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    • 2015
  • Purpose: The purpose of this study was to identify the influence of physical activity and depression on sleep quality among the young-old and old-old community-dwelling elderly. Methods: Participants were 216 community-dwelling older adults in Korea aged 65 or above. Data were collected using structured questionnaires with face-to-face interviews that included demographic and health-related characteristics, International Physical Activity Questionnaires (IPAQ), the Short Form Geriatric Depression Scale (SGDS) and the Pittsburgh Sleep Quality Index (PSQI). A hierarchical multiple regression was conducted to examine whether physical activity and depression would predict sleep quality under other controlled factors. Results: There were differences in demographic and health-related characteristics, physical activity, and depression by age groups, but not in sleep quality. In the young-old elderly, physical activity (${\beta}=-0.22$, p=.043) and depression (${\beta}=0.31$, p=.002) were significantly associated with sleep quality (F=4.46, p=.001, Adjusted $R^2=.16$). In the old-old elderly, physical activity (${\beta}=-0.29$, p=.001) and depression (${\beta}=0.41$, p<.001) were significantly associated with sleep quality (F=10.79, p<.001, Adjusted $R^2=.29$). Conclusion: These finding highlight physical activity and depression as important contributors to sleep quality in both young-old and old-old elderly.

Quality of Life of Women Undergoing Chemotherapy for a Gynaecological Oncological Disease in Turkey

  • Akkuzu, Gulcihan
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.4
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    • pp.1277-1280
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    • 2012
  • Aim: Studies have shown effects of surgery, radiation and chemotherapy on quality of life in cases of gynaecological cancer. Very few studies are available examining the quality of life of individuals in Turkey who have been diagnosed with gynaecological cancer and undergoing treatment. Method: This study was performed to evaluate the quality of life of such patients using the EORTC-QLQ-C30 Quality of Life Index. Chi-square Yates, Mann-Whitney-U tests and variance analysis used for statistical analizing. Results: The EORTC-QLQ-C30 Quality of Life Index mean points for "general well-being and quality of life" of the patients were found to be $60.5{\pm}25.0$. In the sub-groups of the Quality of Life Index determined fatigue ($60.1{\pm}24.8$), economic difficulties ($46.9{\pm}33.3$), pain and loss of appetite ($42.9{\pm}27.8$; $42.9{\pm}34.0$) and insomnia ($40.1{\pm}34.0$) were the symptoms most reported to have a negative effect on quality of life. Statistical significance was noted for marital status and income status (p<0.05) but not educational level. Conclusion:Determination of quality of life of women with a diagnosis of gynaecological oncological disease who are undergoing chemotherapy enables provision of a more comprehensive and higher quality of care.

Determination of Beam Quality Correction Factors for the PTW-Markus Chamber for Electron Beam Qualities R50=1.0 and 1.4 g/cm2 (전자선 선질 R50=1.0과 1.4 g/cm2에 대한 PTW-Markus 전리함의 선질보정인자 결정에 관한 연구)

  • Kim, Me Young;Rhee, Dong Joo;Moon, Young Min;Jeong, Dong Hyeok
    • Progress in Medical Physics
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    • v.26 no.3
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    • pp.178-184
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    • 2015
  • The Markus ionization chamber(R) is a small plane parallel ionization chamber widely used in clinical electron beam dosimetry. Plane parallel chambers were recommended for low energy electron dosimetry with the beam quality at $R_{50}<4.0g/cm^2$ (${\bar{E}}{\approx}10MeV$) according to TRS-398 protocol. However, the quality correction factors ($k_{Q,Q_0}$) of the Markus chamber was not presented in TRS-398 protocol for electron beam quality at $R_{50}<2.0g/cm^2$ (${\bar{E}}{\approx}4MeV$). In this study, the $k_{Q,Q_0}$ factors of the Markus chambers (PTW-34045) for beam qualities at $R_{50}=1.0$, 1.4, 2.0, 2.5, 3.0, and $5.0g/cm^2$ were determined by Monte Carlo calculations (DOSRZnrc/EGSnrc) and the dosimetric formalism of quality correction factor. The derived $k_{Q,Q_0}$ values were evaluated using the produced data based on TRS-398 and TG-51 protocols and known values for the Markus chamber.

Effects of Child Welfare Service Quality Delivery and Customer Satisfaction from the Service Distribution Perspective (서비스 유통 관점에서 아동복지기관 서비스질의 전달에 대한 인식과 이용자 만족도에 미치는 영향)

  • Um, Keung-Ho;Kim, Jin-Woo
    • Journal of Distribution Science
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    • v.13 no.8
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    • pp.91-96
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    • 2015
  • Purpose - This study reviews the delivery of child welfare service quality and examines how the dimensions of the variables of customer satisfaction impact the results from a service distribution perspective. This study differs from existing research since it proposes that a recognized level of child welfare service quality is necessary to achieve customer satisfaction from the perspective of service distribution. Research design, data, and methodology - This study explores child welfare service quality factors that affect customer satisfaction. The study examines and analyzes demographic variables, service quality dimensions, and the causal relationships between child welfare service quality and customer satisfaction. Data from 300 child welfare cases were collected from organizations in Korea in the areas of Busan and Gyeongsangnamdo. The methods of analysis are as follow. First, using descriptive analysis frequency, the percentages were evaluated to assess the demographic variables. Second, Cronbach's α was used to test reliability and to evaluate the internal consistency of the measuring of items. Third, multiple regression analysis was conducted to find out how much the independent variable can affect customer satisfaction. Results - Five factors of child welfare service quality were identified in three categories: process quality (assurance, empathy), results quality (reliability, caring), and physical environment quality (tangibles). There were significant differences among the effects of the child welfare service quality factors on customer satisfaction. A multiple regression analysis was done with process quality (assurance, empathy), results quality (reliability, caring) and physical environment quality (tangibles) to test the hypothesis: assurance (t=2.434, p<0.05), empathy (t=3.677, p<0.001), reliability (t=3.271, p<0.05), caring (t=4.380, p<0.000), and tangibles (t=3.654, p<0.01) had a positive influence on child welfare service quality from a service distribution perspective. Therefore, hypotheses 1, 2, 3, 4, and 5 were supported. In addition, multiple regression analysis on the effects of the variables showed that caring (β=0.273), empathy (β=0.246), tangibles (β=0.265), reliability (β=0.152), and assurance (β=0.131) all had a positive and strong influence on child welfare service quality from a service distribution perspective. Therefore, all child welfare service quality categories (process, results and physical environment quality) were positively statistically significant. Conclusion - In this study, the main findings can be summarized as follows. First, the quality of service of child welfare consists of three dimensions of quality: process quality, results quality, and physical environment quality. The results of the multiple regression analysis also showed that caring and reliability were confirmed as more meaningful variables by the increasing loading factors. Second, the family members involved in child welfare proposed caring as the most important variable among the dimensions of service quality. Third, the results of the hypothesis testing using regression showed that all child welfare service quality factors had a positive impact on customer satisfaction. The results of the study could provide useful information to help increase the effectiveness of delivery strategies for child welfare service quality from a service distribution perspective.

Effect of Municipal Sewage Treatment Plant on Water Quality in Western Kangwon Area (강원 영서지역 하수처리장이 수질에 미치는 영향)

  • Huh In-Ryang;Choi Ji-Yong;Kim Yeong-Jin;Jeong Ui-Ho
    • Journal of Environmental Health Sciences
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    • v.31 no.4 s.85
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    • pp.235-240
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    • 2005
  • The effects of municipal sewage treatment plants on the water quality and effluent loading were investigated. BOD removal rates from Wonju, Hoengseong, and Hongcheon municipal sewage treatment plants were $88.9\%,\;80.6\%,\;90.7\%$ and T-P removal rates were $47.3\%,\;56.5\%,\;71.6\%,$ respectively. Also, BOD effluent leading from WonJu, Hoengseong, and Hongcheon treatment plants were 1,520 kg/day, 75 kg/day, 55 kg/day and T-P effluent loading were 203.9 kg/day, 4.2 kg/day, 4.0 kg/day, respectively. In terms of water quality distribution by distance of flow, BOD of the Seom river rapidly rose from 1.6 mg/l to 4.0 mg/l and T-P rose from 0.034 mg/l to 0.321 mg/l. Also BOD of the Hongcheon river showed a slowly rise from 1.1 mg/l to 1.4 mg/l and T-P from 0.011 mg/l to 0.026 mg/l. In conclusion, the effects of municipal sewage treatment plants on the water quality proved that T-P was higher than BOD. Consequently, in order to improve water quality, it is necessary to adopt an advanced sewage treatment system like nutrient removal.

Estimation on Chemical Water Quality Suitability Index for 4 Species of the Mayfly Genus Ephemera (Ephemeroptera: Ephemeridae) Using Probability Distribution Models (확률분포모형을 이용한 하루살이속(Ephemera) 4종에 대한 화학적 수질 적합도지수 평가)

  • Bongjun Jung;Dongsoo Kong
    • Journal of Korean Society on Water Environment
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    • v.39 no.6
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    • pp.475-490
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    • 2023
  • Chemical water quality suitability for species (Ephemera strigata, Ephemera separigata, and Ephemera orientalis-sachalinensis group) of the mayfly genus Ephemera (Order Ephemeroptera) was analyzed with probability distribution models (Exponential, Normal, Lognormal, Logistic, Weibull, Gamma, Beta, Gumbel). Data was collected from 23,957 sampling units of 6,664 sites in Korea from 2010 to 2021. E. orientalis-sachalinensis occurred at the range of BOD5 0.3~11.1 mg/L (the best-fit Lognormal model); T-P 0.007~0.769 mg/L (the Gumbel model); TSS 0.4~142.2 mg/L (the Lognormal model). E. strigata occurred at the range of BOD5 0.4~7.4 mg/L (the Gumbel model); T-P 0.007~0.254 mg/L (the Lognormal model); TSS 0.4~17.1 mg/L (the Lognormal model). E. separigata occurred at the range of BOD5 0.4~2.6 mg/L (the R-Weibull model); T-P 0.007~0.134 mg/L (the Lognormal model); TSS 0.7~10.0 mg/L (the Lognormal model). Habitat suitability range of E. orientalis-sachalinensis was estimated to be 0.4~1.9 mg/L (BOD5), 0.024~0.086 mg/L (T-P), 2.5~22.4 mg/L (TSS); that of E. strigata was 0.4~0.7 mg/L (BOD5), 0.007~0.018 mg/L (T-P), 0.0~1.7 mg/L (TSS); that of E. separigata was 0.0~0.4 mg/L (BOD5), 0.000~0.015 mg/L (T-P), 0.5~3.1 mg/L (TSS). In a relative comparision, E. orientalis-sachalinensis was estimated to be eurysaprobic, and narrowly adapted in high levels of T-P and TSS, E. strigata was estimated to be oligosaprobic and adapted in low levels of T-P and TSS, and E. separigata was estimated to be stenooligosaprobic and widely adapted in low level of T-P and TSS.

Storage Stability and Shelf Life Characteristics of Korean Savory Sauce Products

  • Yun, Jung-Hyun;Cha, Yong-Jun;Lee, Dong-Sun
    • Preventive Nutrition and Food Science
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    • v.12 no.4
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    • pp.242-250
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    • 2007
  • This study evaluated the storage stability of a variety of sauce products in the Korean market, determined primary quality indices for three typical products, and proposed functional relationships that are useful for determining shelf life at different temperatures. Most of the products examined were found to combine hurdles of low pH, low water activity, and the use of heat processing as methods for producing the required storage stability while maintaining the sensory quality of the products. For a meat extract solution produced for cold noodles (pH=4.3; $a_w=0.98$), the primary quality change determining shelf life was lipid oxidation, determined here by the TBA value. The primary quality index of a soybean paste seasoning mix (pH=4.0; $a_w=0.78$), which had a microbial load of 2.8 log (CFU/g), was a decrease in its pH. The primary quality index for a sandwich spread (pH=4.0; $a_w=0.88$) was changes in its surface color. The temperature dependence of changes in the primary quality indices can be described by the Arrhenius equation, which can estimate the shelf life at any arbitrary limit as a function of temperature. The activation energies for changes in the primary quality indices of the meat extract solution, the soybean paste seasoning, and the sandwich spread were 20.3, 27.2, and 43.5 kJ/mol, respectively.

Usefulness of Silent MRA for Evaluation of Aneurysm after Stent-Assisted Coil Embolization

  • You Na Kim;Jin Wook Choi;Yong Cheol Lim;Jihye Song;Ji Hyun Park;Woo Sang Jung
    • Korean Journal of Radiology
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    • v.23 no.2
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    • pp.246-255
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    • 2022
  • Objective: To determine the usefulness of Silent MR angiography (MRA) for evaluating intracranial aneurysms treated with stent-assisted coil embolization. Materials and Methods: Ninety-nine patients (101 aneurysms) treated with stent-assisted coil embolization (Neuroform atlas, 71 cases; Enterprise, 17; LVIS Jr, 9; and Solitaire AB, 4 cases) underwent time-of-flight (TOF) MRA and Silent MRA in the same session using a 3T MRI system within 24 hours of embolization. Two radiologists independently interpreted both MRA images retrospectively and rated the image quality using a 5-point Likert scale. The image quality and diagnostic accuracy of the two modalities in the detection of aneurysm occlusion were further compared based on the stent design and the site of aneurysm. Results: The average image quality scores of the Silent MRA and TOF MRA were 4.38 ± 0.83 and 2.78 ± 1.04, respectively (p < 0.001), with an almost perfect interobserver agreement. Silent MRA had a significantly higher image quality score than TOF MRA at the distal internal carotid artery (n = 57, 4.25 ± 0.91 vs. 3.05 ± 1.16, p < 0.001), middle cerebral artery (n = 21, 4.57 ± 0.75 vs. 2.19 ± 0.68, p < 0.001), anterior cerebral artery (n = 13, 4.54 ± 0.66 vs. 2.46 ± 0.66, p < 0.001), and posterior circulation artery (n = 10, 4.50 ± 0.71 vs. 2.90 ± 0.74, p = 0.013). Silent MRA had superior image quality score to TOF MRA in the stented arteries when using Neuroform atlas (4.66 ± 0.53 vs. 3.21 ± 0.84, p < 0.001), Enterprise (3.29 ± 1.59 vs. 1.59 ± 0.51, p = 0.003), LVIS Jr (4.33 ± 1.89 vs. 1.89 ± 0.78, p = 0.033), and Solitaire AB stents (4.00 ± 2.25 vs. 2.25 ± 0.96, p = 0.356). The interpretation of the status of aneurysm occlusion exhibited significantly higher sensitivity with Silent MRA than with TOF MRA when using the Neuroform Atlas stent (96.4% vs. 14.3%, respectively, p < 0.001) and LVIS Jr stent (100% vs. 20%, respectively, p = 0.046). Conclusion: Silent MRA can be useful to evaluate aneurysms treated with stent-assisted coil embolization, regardless of the aneurysm location and type of stent used.

Association of Sleep, Dietary Behaviors and Physical Activity with Quality of Life among Shift-work Nurses (교대근무 간호사의 수면, 식생활 행위, 신체활동이 삶의 질에 미치는 영향)

  • Lee, A-ra;Lim, Sungju;Han, Kihye
    • Journal of Korean Biological Nursing Science
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    • v.19 no.4
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    • pp.252-257
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    • 2017
  • Purpose: This study aimed to investigate the associations of sleep, dietary behaviors and physical activity with quality of life among shift-work nurses. Methods: For this cross-sectional descriptive study, data were collected from 191 shift-work nurses in a tertiary hospital. Multiple linear regression analysis was used to identify the relationships among variables. Results: The levels of sleep quality, dietary behaviors and physical activity were low. Factors associated with quality of life among shift-work nurses included sleep disturbance (B=-0.16, ${\beta}=-0.26$, p<.001), dietary behaviors (B=0.28, ${\beta}=0.24$, p<.001), and physical activity (B=0.05, ${\beta}=0.19$, p<.001). The strongest factor was sleep disturbance. Conclusion: In order to improve quality of life among shift-work nurses, it is significant to encourage and maintain health behaviors such as sleep, dietary behaviors and physical activity. Under the circumstances where shift-work cannot be avoided, personal efforts made by nurses to establish their own living standards for positive health behaviors will benefit their quality of life.

Meta-Analysis of Social Psychological Factors related to Quality of Life in Stroke Patients (뇌졸중 환자의 삶의 질과 관련된 사회 심리적 요인에 대한 메타분석)

  • Yang, Young-Ok;Kim, Minju;Park, Kyung-Yeon
    • Research in Community and Public Health Nursing
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    • v.29 no.4
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    • pp.510-519
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    • 2018
  • Purpose: The purpose of this meta-analysis isto identify social psychological factors related to quality of life and estimate the effect sizes of the factors among patients with strokes. Methods: Thirteen studies with a total of 1,814 patients published from the earliest records to January 8, 2017 were selected through a systematic process of searching the literature, and evaluated against influencing factors of quality of life and their effect sizes. Pooled effect sizes were calculated using the random effect model. Meta-analysis was conducted by R software. Results: The following influencing factors had a strong association with quality of life with stroke: depression (r=-.50; 95% CI: -0.63~-0.46), activities of daily living (r=.46; 95% CI: 0.35~0.56), and social support (r=.40; 95% CI: 0.24~0.53). Conclusion: The findings confirm that depression, activities of daily living and social support are associated with quality of life among patients with stroke survivors. We recommend that any intervention program to improve the quality of life with stroke patients consider addressing these modifiable influencing factors.