• Quality Improvement in Health Care
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• v.10 no.2
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• pp.154-163
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• 2003

Purpose: The aim of this study is to develop and apply the critical pathway to the nasal bone fracture patients and to elucidate its effect. Methods: Critical pathway (CP) sheet and questionnaire were developed by a team approach. Critical pathway were applied to 30 nasal bone fracture patients (CP group) from June 2001 to November 2001. Length of hospitalization, cost for hospitalization and bed turnover rate of CP group were compared to those of the 30 patients who had same disease entities and treated by conventional regimen (control group). Results: Length of hospitalization in the CP group (4.20 day) were significantly shorter than that of control group (6.21 day). Mean cost for hospitalization of the CP group (492,106 won) were significantly lower than that of control group (678,376 won). Bed turnover rate in CP group (2.5) were higher than that of control group. The patients satisfaction for the medical personnel, explanation regarding operation procedure, therapeutic operation fee, and length of hospitalization were all affirmative. Conclusion: Critical pathway that we developed for nasal bone fracture definitely improved the quality of treatment and lowered cost of medical service. Furthermore, other critical pathways should be developed for another facial trauma patients.

• Korean Journal of Radiology
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• v.23 no.9
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• pp.878-888
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• 2022

Objective: To investigate the clinical impact of a quality improvement program including dedicated emergency radiology personnel (QIP-DERP) on the management of emergency surgical patients in the emergency department (ED). Materials and Methods: This retrospective study identified all adult patients (n = 3667) who underwent preoperative body CT, for which written radiology reports were generated, and who subsequently underwent non-elective surgery between 2007 and 2018 in the ED of a single urban academic tertiary medical institution. The study cohort was divided into periods before and after the initiation of QIP-DERP. We matched the control group patients (i.e., before QIP-DERP) to the QIP-DERP group patients using propensity score (PS), with a 1:2 matching ratio for the main analysis and a 1:1 ratio for sub-analyses separately for daytime (8:00 AM to 5:00 PM on weekdays) and after-hours. The primary outcome was timing of emergency surgery (TES), which was defined as the time from ED arrival to surgical intervention. The secondary outcomes included ED length of stay (LOS) and intensive care unit (ICU) admission rate. Results: According to the PS-matched analysis, compared with the control group, QIP-DERP significantly decreased the median TES from 16.7 hours (interquartile range, 9.4-27.5 hours) to 11.6 hours (6.6-21.9 hours) (p < 0.001) and the ICU admission rate from 33.3% (205/616) to 23.9% (295/1232) (p < 0.001). During after-hours, the QIP-DERP significantly reduced median TES from 19.9 hours (12.5-30.1 hours) to 9.6 hours (5.7-19.1 hours) (p < 0.001), median ED LOS from 9.1 hours (5.6-16.5 hours) to 6.7 hours (4.9-11.3 hours) (p < 0.001), and ICU admission rate from 35.5% (108/304) to 22.0% (67/304) (p < 0.001). Conclusion: QIP-DERP implementation improved the quality of emergency surgical management in the ED by reducing TES, ED LOS, and ICU admission rate, particularly during after-hours.

• The Korean Journal of Pain
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• v.11 no.2
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• pp.321-325
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• 1998

Most of the patients with pain resulting from advanced cancer need opioid for adequate analgesia. Various Methods of drug administration to control the pain have been developed. One of them, continuous administration of intravenous morphine is used for more effective pain control in the patient with severe pain that cannot be satisfactorily controlled by other Methods of morphine administration. But this is not a suitable method at home because of the possibility of serious infectious complications and the difficulty in managing intravenous access by untrained personnel. Continuous subcutaneous adminstration of drugs can not only overcome such disadvantages of continuous intravenous infusion but also get almost the same effect of pain control as continuous intravenous infusion, and allows opportunity to move freely and return home, improving quality of life. We used continuous subcutaneous morphine and metoclopramide in the patients with cancer pain via a portable PCA device, and accomplished satisfactory pain relief without significant side effect.

• Journal of Korean Library and Information Science Society
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• v.48 no.1
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• pp.319-344
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• 2017

As the social environment changes, the public library's services for older persons need to be improved from a new perspective. Therefore, this study analyzed the relationships among user satisfaction of major services, overall service satisfaction, service quality components (i.e., service affection, information control, and library as place), and re-use intention according to demographic characteristics by evaluating the public library's services for older persons with applying LibQUAL+ and surveying the user satisfaction. This study proposed to provide appropriate information and service according to the changes of the elderly user environment, develop the library collection according to the diversified information needs by older users, and allocate personnel who could offer a service to older people.

• Journal of the Korea Institute of Military Science and Technology
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• v.27 no.4
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• pp.457-465
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• 2024

The Remote Control Munition System is a anti-personnel munitions system to replace land mines that are hard to retrieve and can inflict damage on friendly forces and civilians. As operating environments and methods change, quality improvement is necessary to ensure appropriate durability. Therefore, corrosion resistance evaluation was performed according to the surface treatment of ALDC12, the main assembly material. We conduct the potentiodynamic polarization, cyclic corrosion test to perform analysis on corrosion behavior. Additionally, we try to observe the pitting on the surface through SEM analysis. In conclusion, among the three surface treatments, Anodizing surface treatment is judged to be the most suitable for corrosion durability in a field environment.

• Korean Journal of Clinical Laboratory Science
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• v.52 no.3
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• pp.261-270
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• 2020

This study reviewed the quality addition rate, calculation, and application criteria needed to identify the possibility of additional medical technologists in the field for new certification and professional manpower to provide a superior laboratory. The six institutions that participated in the study were the size of large hospitals with more than 1,000 beds, with an average of five full-time laboratory physicians (also called clinical pathologists) and an average of 53 medical technologists, with 10.6 per laboratory physician. An analysis of the time required for each activity category of medical technologists revealed decreasing behavior during the analysis. In contrast, the ratio of the comprehensive pre-analysis activities was high due to the strengthening of laboratory operations and quality control. During the analysis, the proportion of biochemistry tests was high, and post-analysis of most of the results was performed. Hence, improving the quality of sample testing requires significant time, and appropriate personnel are required. In conclusion, the recruitment of medical technologists is also a key component to improving the sample quality, and corresponding personnel regulations are necessary.

• Journal of environmental and Sanitary engineering
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• v.6 no.2
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• pp.33-47
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• 1991

1. Water supply treatment plants personnel could not test the water quality control, because most of them rely on the provincial health laboratories about water quality rely rant test. However, in future, plants have to been provided the facilities and equipment of water quality laboratory. 2. Chlorination methods are 89.5% of liquid chlorine and 10.5% of solid chlorine, and the cost per 1 $\m^{3}$ of chlorination is about 1.30 won which chlorination cost is very cheap as 1/142 of drinking water production cost. Input method of chlorine is 35% of automatic method, 56% of semi-automatic, and 9% of other methods, and this is no problem 3. Residual effects of chlorination, in the case of distilled water as a standardized material and 0.2 ppm of seperated residual chlorine, were continued 32 hours in $0^{\circ}C$, and 25 hour in $20^{\circ}C$, of water temperature and in the case of 0.4 ppm of seperated residual chlorine were continued 47 hours in $0^{\circ}C$ and 23 hours in $20^{\circ}C$. 4. In the case of 4 ppm of seperated residual chlorine, residual effects were continued 23 hours in $5^{\circ}C$, 90 hours in $10^{\circ}C$, 78 hours in $15^{\circ}C$, and 60 hours in $20^{\circ}C$ : by the temper; lure of water, continuing residual effects of chlorination are different, so we have to car for the warm season chlorination in the hider temperature. 5. Chlorination effects of drinking waters in the case of 0.4 ppm of seperated residual chlorine were continued 237 hours in $22^{\circ}C$ water : and in the case of rechlorination as 4 ppm of residual chlorine, continued 71 hours in $22^{\circ}C$ water.

• Journal of the Korea Institute of Building Construction
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• v.24 no.2
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• pp.239-248
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• 2024

The adjustment in guidelines for quality certification of recycled aggregate permitted the Quality Control Manager of a company specializing in recycled aggregate quality certification to concurrently assume the role of Environmental Management Manager. Analysis of the outcomes from the 2023 recycled aggregate quality certification follow-up management audit conducted by the certification agency revealed that in 95 out of 242 cases, constituting approximately 39% of the total cases, individuals held concurrent positions. Following the regulatory revision, there has been a notable proliferation of concurrent roles across various enterprises. Concerns arose regarding the potential neglect of quality control for certified recycled aggregates in comparison to scenarios where individuals are solely responsible for specific duties related to quality and environmental management. Audit results encompassing six aspects, including waste management, were evaluated on a scale of 6 points. A comparative analysis was conducted between the outcomes of 147 cases managed by dedicated personnel, as previously practiced, and 95 cases managed by individuals with concurrent roles. Although the average score of the latter group was marginally lower, no statistically significant disparity was observed between the two groups. Consequently, apprehensions regarding the oversight of quality control stemming from the allowance of concurrent roles appear unfounded. Within the context of recent regulatory revisions, permitting concurrent roles in managerial capacities is deemed an appropriate relaxation of regulations.

• Archives of Plastic Surgery
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• v.34 no.6
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• pp.713-718
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• 2007

Purpose: The aim of this study is to develop and apply the critical pathway to the orbital wall fracture patients and to elucidate its effect. Methods: Critical pathway(CP) sheet and questionnaire were developed by a team approach. Critical pathway was applied to 7 orbital wall fracture patients (CP group) from April 2006 to September 2006. Length of hospitalization and cost for hospitalization of CP group were compared to those of the 10 patients who had same disease entities and treated by conventional regimen(control group). Results: Length of hospitalization in the CP group (7.20 day) were insignificantly shorter than that of control group(8.71 day). Mean cost for hospitalization of the CP group(776,398 won) were insignificantly lower than that of control group(1,028,531 won). The patients satisfaction for the explanation regarding operation procedure, therapeutic operation fee, length of hospitalization and medical personnel were all affirmative. Conclusion: Critical pathway that we developed for orbital wall fracture definitely improved the quality of treatment. Furthermore, other critical pathways should be developed for another facial trauma patients.

• Proceedings of the KWS Conference
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• 2002.10a
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• pp.295-300
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• 2002

In this paper, an intelligent system to determine welding parameters for each pass and welding position in pipeline welding based on one database and FEM model, two BP neural network models and a C-NN model was developed and validated. The preliminary test of the system has indicated that the developed system could determine welding parameters for pipeline welding quickly, from which good weldments can be produced without experienced welding personnel. Experiments using the predicted welding parameters from the developed system proved the feasibility of interface standards and intelligent control technology to increase productivity, improve quality, and reduce the cost of system integration.