• 제목/요약/키워드: Quality checking

검색결과 361건 처리시간 0.026초

핵의학 감마카메라 정도관리의 딥러닝 적용 (Deep Learning Application of Gamma Camera Quality Control in Nuclear Medicine)

  • 정의환;오주영;이주영;박훈희
    • 대한방사선기술학회지:방사선기술과학
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    • 제43권6호
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    • pp.461-467
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    • 2020
  • In the field of nuclear medicine, errors are sometimes generated because the assessment of the uniformity of gamma cameras relies on the naked eye of the evaluator. To minimize these errors, we created an artificial intelligence model based on CNN algorithm and wanted to assess its usefulness. We produced 20,000 normal images and partial cold region images using Python, and conducted artificial intelligence training with Resnet18 models. The training results showed that accuracy, specificity and sensitivity were 95.01%, 92.30%, and 97.73%, respectively. According to the results of the evaluation of the confusion matrix of artificial intelligence and expert groups, artificial intelligence was accuracy, specificity and sensitivity of 94.00%, 91.50%, and 96.80%, respectively, and expert groups was accuracy, specificity and sensitivity of 69.00%, 64.00%, and 74.00%, respectively. The results showed that artificial intelligence was better than expert groups. In addition, by checking together with the radiological technologist and AI, errors that may occur during the quality control process can be reduced, providing a better examination environment for patients, providing convenience to radiologists, and improving work efficiency.

GPS 데이터 품질관리 프로그램의 개발 (Developement of GPS Data Quality Control Program)

  • 윤홍식;이동하;이영균;조재명
    • 한국측량학회지
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    • 제24권1호
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    • pp.9-18
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    • 2006
  • 본 연구는 GPS 데이터 해석 시 정밀도를 높이고 현장에서 관측시간 내 GPS 측량의 적절성 및 재측 여부 등을 직접 결정할 수 있도록 GPS 데이터 품질관리 프로그램을 개발하는 것에 그 목적이 있다. 본 연구에서 개발된 GPS_QC 프로그램은 관측시간 내 위성의 기하학적 배치(DOP)와 다중경로 오차량, 전리층 지연량 및 사이클 슬립 등의 품질관리 인자(quality control parameters)를 RINEX 형식의 GPS 관측데이터로부터 직접 계산이 가능하도록 설계되었으며, 이러한 품질관리 인자는 시계열 형태와 그래프로 제공된다. GPS_QC 프로그램은 일반 사용자들이 다루기 어려웠던 기존의 복잡한 GPS 데이터 품질 확인을 간편하게 수행할 수 있도록 함으로써 실제 현장에서 잘못된 GPS 관측에 따른 재측여부 등을 직접 결정할 수 있게 함으로써 시간적 경제적 손실을 절감시키고, GPS 위치해석 시 정밀도를 높일 수 있을 것으로 판단된다.

성인들의 건강관리와 구강건강관리행태에 따른 주관적 건강과 구강건강, EQ-5D수준 (Subjective Health, Subjective Oral Health, and EQ-5D Level of Adults According to Health Management and Oral Health Management Behavior)

  • 박충무;윤현서
    • 대한통합의학회지
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    • 제11권1호
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    • pp.1-12
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    • 2023
  • Purpose : This study examined the relationship between oral health management behavior and subjective health perception by using a tool that measures health-related quality of life named EQ-5D. The findings are expected to provide fundamental data for developing diverse programs, including health- and oral-health-related educational media, to ultimately enhance people's health-related quality of life. Methods : Adults over the age of 20 were extracted from the raw materials of the 8th national health and nutrition examination survey conducted in 2019. Among them, 4034 were finally chosen as the study subjects after checking the response distribution of relevant questions and excluding inadequate samples. Variables included general characteristics, health management behavior, oral health management behavior, subjective health perception, and EQ-5D level. Cross-tabulation test, independent t-test, one-way analysis of variance, and linear regression analysis were conducted using SPSS 25.0. Results : EQ-5D, which measures the level of health-related quality of life, was high when the subjects had a medical check-up experience, no experience of unsatisfactory medical service, and did not get an influenza vaccination (p<.001). The quality of life was higher when the subjects received dental inspections, did not require treatment, and used oral care goods (p<.005). Health-related quality of life was also higher when the subjective health level and subjective oral health level were high. Conclusion : Results indicate that subjective health, oral health perception level, and quality of life together were high when people had a regular check-up, did not neglect treatment, and used oral care goods. Considering the findings of this study, check-up programs that are customized for each age group are necessary. Health-related quality of life could be enhanced through the provision of diverse medical services and active efforts to prevent any medical blind spot.

대구지역 성인의 가당음료 섭취와 영양지수를 활용한 식사의 질과의 관련성 (Association between Sugar-Sweetened Beverage Intake and Dietary Quality using Nutritional Quotient among Adults in Daegu, Korea)

  • 김길례;이연경
    • 대한지역사회영양학회지
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    • 제26권5호
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    • pp.350-362
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    • 2021
  • Objectives: This study investigated an association between sugar-sweetened beverage (SSB) intake and the dietary quality of adults in Deagu, Korea. Methods: A questionnaire survey was conducted in 1,022 adults aged 19 ~ 49 years (502 men and 520 women) in the Deagu area of Korea. Daily intake of SSB was obtained by the food frequency questionnaire, and the dietary quality was assessed using the nutrition quotient (NQ) for Korean adults. Multiple logistic regression analysis was used to estimate the association between dietary quality and daily intake of SSB in adults. Results: Daily intake of SSB was 463.6 mL/d for total subjects, and the highest intakes were sweetened coffees (192.7 mL/d), followed by carbonated drinks (77.1 mL/d). Higher intake of SSB was associated with higher intake frequency of fast food or sweet and greasy bread, processed beverage, ramyon, eating out or delivery food and night snack, and also associated with lower frequency of water, breakfast intake and nutrition label checking in men or women. Men and women who had a higher intake SSB had significantly greater odds for being in the low grade of NQ (P for trend = 0.0006 for men, P for trend = 0.0007 for women), especially in the moderation factor (P for trend < 0.0001 for men and women). Conclusions: This study showed that high SSB intake was significantly associated with low dietary quality among adults. These study results suggest that nutrition education programs and guidelines should be provided to adults for improving their consumption of SSB and related diets.

겨드랑이막증후군을 가진 유방암 환자들의 도수림프배출법과 고주파 투열치료가 통증, 부피, 기능 및 삶의 질에 미치는 효과 : 사례군 연구 (Effects of Manual Lymphatic Drainage and High Frequency Diathermy on Pain, Volume, Function of Upper Extremity and Quality of Life in Breast Cancer Patients with Axillary Web Syndrome : a Study of Five Case Reports)

  • 안수연;신원섭
    • 대한통합의학회지
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    • 제9권4호
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    • pp.19-28
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    • 2021
  • Purpose : The purpose of this study was to apply manual lymphatic drainage (MLD) and high-frequency diathermy (HFD) to patients with axillary web syndrome (AWS), one of the side effects of breast cancer surgery, and to treat upper extremity pain, volume, function of the upper extremity, (joint range of motion; ROM, disabilities of the arm, shoulder and hand; DASH) and quality of life before and after treatment. It is to determine the effect of treatment by checking the level change. Methods : This study is a case series. A total of 5 patients diagnosed with AWS after breast cancer surgery voluntarily participated in this study. The intervention program consisted of stretching, MLD and HFD. It was conducted 3 times a week for 30 minutes for 4 weeks. In order to compare the effects of pain (numeric pain rating scale; NPRS), volume, upper limb function (ROM, DASH) and quality of life (the European organization for research and treatment of cancer quality of life questionnaire-breast, EORTC QLQ-BR23) evaluations were compared before and after 4 weeks of intervention. All measured variables were analyzed and expressed as mean, standard deviation and percentage. Results : The shoulder NPRS level of the subjects in all case groups decreased, the volume decreased and the shoulder flexion, abduction ROM increased. It showed improvement in DASH and quality of life, QLQ-BR23. Conclusion : After breast cancer surgery, we confirmed the possibility that MLD and HFD treatments could be effective in improving pain, decreasing volume, increasing upper extremity function, and quality of life for patients who have difficulties with AWS. The possibility has been confirmed, and additional research is needed by increasing the number of participants in the experiment in the future.

패밀리 레스토랑의 핵심${\cdot}$고품질${\cdot}$기본서비스 요인과 요인 별 고객관리 차별화 전략에 관한 연구 (Core${\cdot}$Quality${\cdot}$Basic Service Factors of Family Restaurants and Differentiation Strategy for Customer Service Management)

  • 박정영
    • 한국식생활문화학회지
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    • 제23권2호
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    • pp.184-193
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    • 2008
  • The purpose of this study was to determine the detailed customer satisfaction and dissatisfaction factors of family restaurants in Korea, and to then classify the factors into 3 groups, inlcuding core service, quality service, and basic service. ‘Core service’ represents the critical factors that generate both satisfaction and dissatisfaction; ‘quality service’ generates only satisfaction; and ‘basic service’ generates only dissatisfaction. This categorization is based on Herzberg’s motivation-hygiene theory (1976) as well as Cadotte & Turgeon (1988). Based on the characteristics of the three groups, differentiation strategies in managing customer service were suggested to the family restaurant managers. A qualitative research method, termed the critical incident technique (CIT), was used in the study. This method helps researchers find new factors or attributes by grouping key issues from the anecdotes (critical incidents) and then categorizing common factors from the key issues. This research categorized key satisfiers and dissatisfiers into 33 factors, which were from 402 critical incidents described by 261 respondents. Eleven factors (response to service failures, food taste and quality, attention paid to customers, coupon/mileage point/discount card, customer’s ordinary requests, waiting, food diversity, food price, facility sanitation, checking out, customer’s special requests) were classified into core service, which required maximum management not regarding the level of customer satisfaction. Six factors (employee attitude, event, education and explanation, complementary food, customer’s mistakes, attention paid to children) were classified into quality service, which required differentiation strategy management. Finally, nine factors (speed of food service, employee’s mistakes, food sanitation, atmosphere and interior, seating, forcing orders, parking, other customers, reservations) were classified into basic service, which required minimum management at the level of the industry standards.

외래 간호인력 업무활동 수행도와 중요도 분석;종합병원${\cdot}$종합전문요양기관 중심으로 (A Study on the Performance and the Importance of Ambulatory Nursing Activities)

  • 황혜영;박정혜;김지수;전인숙;배경옥;서미숙;양우정;정문영;채지선;홍지연;김문실
    • 간호행정학회지
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    • 제13권1호
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    • pp.109-117
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    • 2007
  • Purpose: This study focused on analysing the performance and the perception of importance about workload of ambulatory nurses and nurse-aides for quality of nursing. Method: The subjects of this study were 126 ambulatory nurses and 117 nurse-aides in 6 secondary and 4 tertiary hospitals. The method of data collection was used the questionnaire. Result: As a result, First, nurses' activities that the performance score is above 3.0 are reception, guidance, reservation, confirm, checking medical record, operating report, explanation of disease, explanation of examination discuss with medical part, discuss with supporting part, solving patient problem environment management, and paper work. And the other side, those of nurse-aides are reception, guidance, reservation, preparation for clinic, assistant for clinic, preparation for examination, material transfer & receipt, confirm, checking medical record, and arrangement. Second, nurses-aids perceive above 3.0 performance score activities to be important for themselves. Finally, nurses perceive three categories of patient education/counselling, patient advocacy and quality improvement to be more important and higher performance when compared with nurse-aides. Conclusions: Ambulatory nurse's important nursing activities are therapeutic care, patient education/counselling, patient advocacy, communication, personal management, quality improvement.

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올인원 접착제의 미세누출에 관한 정량적 분석 (A QUANTITATIVE ANALYSIS ABOUT MICROLEAKAGE OF ALL-IN-ONE ADHESIVES)

  • 강용희;신수일;신동훈
    • Restorative Dentistry and Endodontics
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    • 제29권1호
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    • pp.66-72
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    • 2004
  • All-in-one adhesives were recently developed for reducing the technique sensitivity and chair time, but lots of concerns were made on bondability, longevity, and microleakage. The object of this study was to evaluate microleakage and marginal quality of all-in-one adhesives using electrochemical method and SEM analysis quantitatively. After making Class V cavities, they were bulk filled with Heliomolar(#A1 after surface treatment with three adhesives: Adper Prompt (Group A), One up bond F (Group O), Xeno III (Group X) Electrical conductivity (microamphere, ${\mu}A$) was checked two times: before and after cavity filling. Percentage of leaky margin was estimated from SEM image (${\times}1,000$). The data were statistically analysed: ANOVA and Paired T test for electrical conductivity, Kruskal-Wallis and Mann-Whitney test for marginal quality, Spearman s rho test for checking of relationships between 2 methods. The result were as follows: 1. There was no difference in microleakage between adhesive systems and every specimen showed some of microleakage after filling. 2. Microleakage was reduced about 70% with composite resin filling. 3. Marginal quality was the best in group A. decreasing among groups in the following order: group O, followed by group X. There were significant differences between group A and group X (p=0.015), and between group 0 and group X (p=0.019). 4. There was no relationship between the microleakage measured by electrochemical method and marginal quality measured by SEM analysis. Within the results of this study, there was no difference in microleakage among groups by electrical conductivity. However, significant difference in marginal quality was seen among groups. It was believed that these dissimilar results might be induced because of their own characteristics. Analysis of microleakage needs various methods for accuracy.

강수 분석자료의 신뢰성 검토에 관한 연구 (A Study on the Quality Assuranc of Chemical Analysis Data of Precipitation Samples)

  • 강공언
    • 환경위생공학
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    • 제10권3호
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    • pp.85-98
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    • 1995
  • In order to ensure that all major cations and anions were accurately measured, the quality assurance checks of chemical analysis data by considering ion and conductivity balance of each precipitation sample were performed. To check the quality assurance of chemical analysis data, precipitation samples were collected by wet- only precipitation sampler at Seoul site and their chemical components were analyzed. By checking the problems for the screening methods of chemical analysis data used until recently, the f value expressed as the ratio of the sum of cations and anions equivalent concentration( $\Sigma $C/$\Sigma $A ) was found to be not ap priorate for data screening. Also, the scattering plot between cation and anion equivalent concentrations in each sample was found to show the general tendency of ion balance but was proved to not quantitate the standard of data screening at a set of samples of various concentration levels.4 more appropriate value was therefore required, h value is defined as (A-C)/C for C≥A and ( A-C)/A for C<4. This value was showed to check the ion balance in a viewpoint of quantitative as well as qualitative and to be useful in applying this expression to a measurement data set. However, the standard o( data screening must vary in response to the ion concentration of sample. In this study, the quality assurance of chemical analysis data was checked by considering both the ion balance evaluating by h value and the electrical conductivity. As these quality assurance checks were applied to Seoul data serf 67 valid samples were obtained. The result of statistical summary in the analytical parameter of precipitation samples collected for a certain period was found to be computed in the precipitation volume- weighted mean( VWM) rather than the arithmetic mean( AM), but PH In the VWM of hydrogen ion concentration. The annual VWM of pH values was 5.0(4.9 ∼ 5.1).

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고액진료비 환자의 특성 비교분석 - 의료보험과 의료보호환자를 중심으로 - (Comparative Analysis on the Characteristics of High Cost Medical Users between the Health Insurance and Medical Assistance Program)

  • 강선희;문옥륜
    • 한국의료질향상학회지
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    • 제2권2호
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    • pp.112-129
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    • 1996
  • Background : A small number of high cost patients usually spend a larger proportion of scarce health resources. Aged, long-term care and readmitted patients usually belong to these high cost patient group. Among others, long length of stay and readmission can be reduced by checking its cause, and these are the areas needed most of quality improvement activity. Characteristics of high cost medical users between health insurance program and medical assistance program were reviewed. Methods : The inpatient claims of health insurance and medical assistance program were analyzed. Patients were divided by 6 groups; long-term, mid-term, short-term, readmitted, cancer and aged. We defined high cost patients as those who had spent one and half million won and over per 6 months. Characteristics of high cost patients for each group were reviewed. Results : medical assistance patients used much more resources than the insured members in the average hospital cost per case but less in daily hospital cost. The former had a longer length of stay and had much heavier diseases. Major diseases of both group were cancer, diseases of circulatory system and chronic degenerative diseases. Gallstone and schizophrenia were more in the insured program. However, pulmonary tuberculosis, asthma were more common among the medical assistance patients. Early readmission before 2 weeks were 28-30% of the total readmission. Readmission rate in the malignat neoplasm and renal failure were 80% and more. Q.A program should be installed to prevent unnecessary readmissions. Conclusion : Almost 30% of early readmissions and admissions due to complications and long length of stay should be reviewed carefully to keep cost down and to enhance the quality of hospital care.

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