• 제목/요약/키워드: Quality Deviation

검색결과 933건 처리시간 0.025초

QUALITY ASSURANCE IMPLEMENTATION IN THE NATIONAL CANCER CENTRE

  • Jui, Wong-Toh
    • 한국의학물리학회:학술대회논문집
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    • 한국의학물리학회 2002년도 Proceedings
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    • pp.19-22
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    • 2002
  • The importance of accurate dose delivery in radiotherapy is well documented. Studies have shown that a mere 5% deviation of the prescribed dose can produce an undesirable treatment outcome. Uncertainties in the dose delivery can arise at different stages of the radiotherapy process. Therefore, a good quality assurance programme will ensure the best possible results and consistency of the radiotherapeutic treatment. Quality assurance in any radiotherapy department involves the responsibility of a multi-disciplinary team of radiation oncologists, medical physicists and radiation technologists. This paper will focus on the physical and technical aspects of QA. The organizational structure and responsibility of the physics QA team is outlined and also included the types and frequencies of QA checks. For a QA program to be effective, action levels should be clearly defined and understood by all staff concerned. Data of the Singapore National Cancer Centre's participation over the last ten years with the IAEA / WHO Postal TLD Dose Inter-comparison programme is presented. The data obtained were within the international criteria. For a QA program to be successfully implemented, there must be a commitment by management to provide adequate staff, test equipment, machine time as well as continual training and education. This is in addition to the positive attitudes of all the staff. A quality audit is also necessary to serve as a check and balance to ensure that the QA is in order.

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뇌성마비아동 보호자의 삶의 질 측정과 물리치료 서비스의 만족도 조사 (Satisfaction of Utilization of Physical Therapy and Quality of Life for Caregivers of Cerebral Palsy Children)

  • 권미지
    • The Journal of Korean Physical Therapy
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    • 제21권2호
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    • pp.55-63
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    • 2009
  • Purpose: This study evaluated of quality of life (QOL) and physical therapy satisfaction (PTS) in caregivers of cerebral palsy children. Methods: Eighty six caregivers in Gwang-ju were examined. The caregivers' QOL was assessed through self-reports using the WHO Quality of Life-BREF (WHOQOL-BREF), and the data was analyzed separately for each of its 5 domains. Physical therapy satisfaction was assessed using a self-reported questionnaire and the data was analyzed separately for the 2 domains. The results were processed by the mean and standard deviation and then verified by ANOVA and a t-test to determine the significant differences in the QOL and PTS. The factors affecting the QOL were processed by logistic regression. Results: Life environment domain of the QOL across the caregivers factors showed a statistically significant difference in age at natal, monthly income and education. The birth order in the cerebral palsy child factor showed a significant difference in the general, physical and emotional domain of the QOL. The PTS showed a significant difference in the delivery of therapy domain and in the birth order and walking condition of the environment domain. Caregivers education was found to be associated independently with the life environment domain of QOL. Conclusion: Because the QOL of caregivers is an important treatment goal for children with cerebral palsy, early family intervention should be considered.

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Longitudinal and Vertical Variations of Long-term Water Quality along with Annual Patterns in Daecheong Reservoir

  • Lee, Sang-Jae;Shin, Jae-Ki;An, Kwang-Guk
    • 생태와환경
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    • 제43권2호
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    • pp.199-211
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    • 2010
  • The objectives for this study were to evaluate spatial and temporal characteristics of water quality, based on long-term water quality monitoring data during 1993~2008. We found that physico-chemical and ecological conditions in the Daecheong Reservoir (DR) were modified by the construction of upper dam (i.e., Yongdam Reservoir). total phosphorus (TP), Secchi depth (SD), and chlorophyll-a (CHL) in the DR showed significant longitudinal decreases along the headwater-to-the downlake, indicating a large spatial variation, and this gradient was more intensified during the high-flow season (monsoon). Nutrient-rich water containing high nitrogen and phosphorus in the monsoon season (July~August) passed through the reservoir as a density current in the metalimnetic depth, and also high suspended solids increased in the metalimnetic depth, especially during the monsoon. According to the deviation analysis of Trophic State Index (TSI), >50% of TSI (CHL)-TSI (SD) and TSI (CHL)-TSI (TP) values were negatives, so that inorganic suspended solids (non-votatile solids) influenced the underwater light regime against phytoplankton growth. Also, ratios of CHL:TP after the dam construction evidently increased, compared to the values before the upper dam constructions, indicating a greater yield of phytoplankton in the unit phosphorus. Overall data showed that ecological and functional changes in Daecheong Reservoir occurred after the construction of upper dam (Yongdam Reservoir).

개념 설계 평가를 위한 제품 품질지수 (Product Quality Index for Concept Design Evaluation)

  • 정진하;박영원
    • 한국생산제조학회지
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    • 제19권4호
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    • pp.521-528
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    • 2010
  • A product system will be improved continually until requirements are satisfied. It is true that considering alternative designs to improve product system is hard work; it is also true that selecting an adequate design idea that represents the needs of stakeholders concerned and meets effectiveness factors properly is not an easy work, either. In the process of driv-ing an idea and designing, which is called Design Phase, there are lots of existing tools for testing the driven idea in DFSS. But, those kinds of tools do not offer the function that helps to select the technically better design idea among alternative design ideas that have the same evaluation level. Moreover it is inappropriate to select adequate alternative design ideas by just verifying only the evaluation table in pugh matrix, since satisfied deviation val-ues are low when there is a too competitive mass product system in a market. Also, for the IT product with short life cycle, faster and more effective testing tool is needed. Therefore, the 'roduct quality index' is suggested in order to select an appropriate candidate design concept for system development that meets requirements by using 'deality concept' pro-vided by TRIZ. According to the result of this research, it is possible to select technically better idea fast and effectively; it is confirmed by applying the approach to the case of LCD BLU (Back Light Unit).

입력자료 군집화에 따른 앙상블 머신러닝 모형의 수질예측 특성 연구 (The Effect of Input Variables Clustering on the Characteristics of Ensemble Machine Learning Model for Water Quality Prediction)

  • 박정수
    • 한국물환경학회지
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    • 제37권5호
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    • pp.335-343
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    • 2021
  • Water quality prediction is essential for the proper management of water supply systems. Increased suspended sediment concentration (SSC) has various effects on water supply systems such as increased treatment cost and consequently, there have been various efforts to develop a model for predicting SSC. However, SSC is affected by both the natural and anthropogenic environment, making it challenging to predict SSC. Recently, advanced machine learning models have increasingly been used for water quality prediction. This study developed an ensemble machine learning model to predict SSC using the XGBoost (XGB) algorithm. The observed discharge (Q) and SSC in two fields monitoring stations were used to develop the model. The input variables were clustered in two groups with low and high ranges of Q using the k-means clustering algorithm. Then each group of data was separately used to optimize XGB (Model 1). The model performance was compared with that of the XGB model using the entire data (Model 2). The models were evaluated by mean squared error-ob servation standard deviation ratio (RSR) and root mean squared error. The RSR were 0.51 and 0.57 in the two monitoring stations for Model 2, respectively, while the model performance improved to RSR 0.46 and 0.55, respectively, for Model 1.

Percutaneous Microwave Ablation of Desmoid Fibromatosis

  • Alberto Martinez-Martinez;Jade Garcia-Espinosa;Antonio Jesus Lainez Ramos-Bossini;Fernando Ruiz Santiago
    • Korean Journal of Radiology
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    • 제22권6호
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    • pp.944-950
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    • 2021
  • Objective: To demonstrate the feasibility of percutaneous microwave ablation in desmoid fibromatosis with respect to tumor volume control and improvement in the quality of life. Materials and Methods: Twelve microwave ablations were performed in 9 patients with a histological diagnosis of desmoid fibromatosis between January 2010 and January 2019. The study population included 6 female and 3 male, with an age range of 21-76 years (mean = 46.6 years; standard deviation [SD] = 19.3 years). The mean major axis of the tumors was 10.9 cm (SD = 5.2 cm) and mean lesion volume was 212.7 cm3 (SD = 213 cm3). Their anatomical distribution was as follows: 3 lesions in the thigh, 2 in the gluteus, 2 in the leg and 2 in the periscapular region. We evaluated the reduction in tumor volume and improvement in the quality of life based on the Eastern Cooperative Oncology Group (ECOG) scale. Results: An average tumor volume reduction of 70.4% (SD = 24.9) was achieved, while the quality of life (ECOG scale) improved in 88.9% of patients. Conclusion: Percutaneous microwave ablation may potentially be a safe, effective, and promising technique for controlling tumor volume and improving the quality of life in patients with desmoid fibromatosis.

재가 호스피스환자 가족의 삶의 질과 가족부담과의 관계 (A Study of the Relation between Quality of Life and Family Burden of Home-based Hospice Patient Families)

  • 이은주;김향동
    • 호스피스학술지
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    • 제6권2호
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    • pp.69-78
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    • 2006
  • Purpose: This study was conducted to analysis relationship about quality of life and family burden of the home-based hospice patient families. Method: The subjects consisted of 94 families with home-based hospice patient. The ages of the subjects were 17-73 years with hospice patient who receivedhome visiting care and registered at 4 hospitals in Daegu and Kyung-Buk. The data was collected from March to November 2004. The instruments used for the study were Quality of Life Scale (GLS) and Family Burden Questionnaire (FBQ). The analysis was done using frequency, mean, standard deviation, correlation and stepwise multiple regression with SPSS WIN 11.0. Results: The results were as follows: 1. The mean score of family burden was 3.36 ($\pm0.55$). The highest mean score of family burden 6 factors were wellness of future 3.85($\pm1.10$), and the second was economic family burden 3.63($\pm0.97$). 2. The mean score of quality of life was 3.09 ($\pm0.48$). The lowest score of quality of life 6 factors were economic status 2.86($\pm0.54$), and the second was physical state and function 3.01($\pm0.62$). 3. In the home-based hospice patient families, family burden had significant negative correlation with quality of life(r=-0.25, p=0.012). 4. Emotional status accounted for 11% of family burden in the home-based hospice patient families by means of stepwise multiple regression. 5. Economical status accounted for 18 and age accounted for an additional 11% of quality of life in the home-based hospice patient families by means of stepwise multiple regression. Conclusion: The finding showed that family burden and quality of life of home-based hospice patient families were significantly negative correlation and the highest factor of family burden was wellness of future and the most important factor of quality of life was economic status.

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전자선 Quality Assurance 선량계 개발을 위한 TlBr 물질의 검출성능 평가 (Evaluation of Detection Performance of TlBr Materials for the Development of Electron Beam Quality Assurance Dosimeters)

  • 양승우;박성광
    • 한국방사선학회논문지
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    • 제16권5호
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    • pp.513-518
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    • 2022
  • 전자선의 정도관리(quality assurance, QA)는 정확한 방사선 치료를 위해 정기적으로 이루어져야한다. 하지만 임상에서 사용되는 QA도구는 X선 위주로 설계되어 있어서 전자선 전용의 QA 선량계가 요구된다. 이에 본 연구에서는 방사선 검출 효율이 뛰어난 브롬화탐륨 물질을 전자선 센서로 활용하여 전자선 검출성능을 측정하고 전자선 전용의 QA 선량계로 적용가능할지를 평가하였다. 평가항목은 재현성, 선형성, 선량률 의존성이며, 선형가속기의 6 MeV, 9 MeV 에너지에서 평가하였다. 재현성 결과, 6 MeV에서는 최대 0.92%, 9 MeV에서는 최대 1.15%의 출력변화를 보여주었다. 선형성 결과평가, 결정계수 R2이 0.9998로 제시되었다. 선량률 의존성 평가 결과, 6 MeV에서는 상대표준편차 0.51%, 9 MeV에서는 상대표준편차 1.07%의 선량률 의존성이 제시되었다. 본 연구에서 제작한 TlBr 센서는 재현성, 선형성, 선량률 의존성의 모든 평가기준을 만족하는 검출성능을 보여준다. 이러한 결과들은 TlBr 선량계가 전자선 전용 QA 선량계로 적용 가능한 것을 의미한다.

추정된 모수를 사용한 CCC-r 관리도에서 관리상태의 성능 (The in-control performance of the CCC-r chart with estimated parameters)

  • 김재연;김민지;이재헌
    • 응용통계연구
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    • 제31권4호
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    • pp.485-495
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    • 2018
  • CCC-r 관리도는 고품질공정에서 공정불량률을 관리하는 경우 매우 효율적이라고 알려져 있다. 이 관리도를 사용할 때 관리상태의 공정모수는 일반적으로 알려져 있지 않기 때문에 제1국면의 표본을 추출하여 이를 추정해야 한다. 제2국면에서 관리도의 성능은 제1국면에서 추정한 모수와 관리한계에 영향을 받기 때문에, 추정 오차의 영향을 살펴보는 것은 중요하다. 이 논문에서는 일반적으로 많이 사용하는 평균런길이의 평균(average of average run length) 이외에 평균런길이의 표준편차(standard deviation of average run length)를 사용하여 CCC-r 관리도의 관리상태의 성능을 평가하였다. 그 결과 CCC-r 관리도에서 안정적인 관리상태의 성능을 유지하기 위해서는 이전에 권장하던 제1국면의 표본 크기보다 훨씬 더 큰 표본이 필요하다는 사실을 알 수 있었다.

MAD 순서통계량을 이용한 웨이블렛 변환기반 다중영상의 영상융합 및 JPEG2000 보드 구현 (Implementation of Wavelet Transform based Image Fusion and JPEG2000 using MAD Order Statistics for Multi-Image)

  • 이철
    • 한국정보통신학회논문지
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    • 제17권11호
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    • pp.2636-2644
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    • 2013
  • 본 논문에서는 서로 다른 감지장치로부터 획득한, 특성이 상이한 다중영상인 가시광선 영상과 적외선 영상의 까다로운 영상융합을 수행할 수 있는 웨이블렛 기반 MAD순서통계량을 논의한다. 상이한 두 영상의 효과적인 영상융합을 위하여 근사부분대역의 웨이블렛 계수에 가중평균(Weighted average)법으로 융합처리하고 상세 부분대역의 웨이블렛 계수에 중앙절대편차(MAD: Median Absolute Deviation)를 이용한 임계값을 비교하여 두 영상의 장점만을 표현하는 방법을 제안한다. 특히 기존의 융합규칙들은 두 영상간의 화소나 지표 값의 대 소 관계에 의해 융합 영상이 이루어짐으로서 왜곡요소가 융합영상에 포함되어 왜곡된 융합영상을 얻을 가능성이 높다. 이러한 단점을 보완하기 위하여 제안 방법의 임계값은 잡음과 같은 왜곡요소를 배재하고 영상의 통계량을 고려하여 설정하였다. 다양한 다중영상을 기존 영상 융합 방법들과 비교하여 제안한 영상융합 방법의 우수성을 종합적 실험결과를 통하여 확인할 수 있었다. 제안된 방법은 실시간처리를 보장하기위하여 DSP와 FPGA를 이용한 하드웨어로 구현하였으며 Xilinx FPGA를 사용하였다.