• 제목/요약/키워드: daily Q.A.

검색결과 187건 처리시간 0.021초

의료인의 소진에 대한 지각: Q 방법론 적용 (Perceptions of Medical Personnel toward Burnout using Q Methodology)

  • 윤은자;권영미;이영미
    • 간호행정학회지
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    • 제22권1호
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    • pp.57-66
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    • 2016
  • Purpose: This exploratory study was done to categorize medical personnel's perceptions of burnout and analyzed the characteristics. Methods: Q methodology was applied using a 45 Q-sample categorized on an 11-point scale which was completed by nurses and doctors working at a university hospital in Seoul, Korea. Collected data were analyzed using the PC-QUANL program. Results: Medical personnel's perceptions of burnout were categorized into three types; 33.83% of the total variance was explained. The first type was 'functionally deteriorating pressure' the second type was 'daily powerlessness' and the third was 'achievement-oriented re-energization'. Conclusion: There is a need to establish and apply intervention strategies for each type to alleviate medical personnel burnout and increase work efficiency to qualitatively improve medical services.

Coenzyme Q10, oxidative stress markers, and sperm DNA damage in men with idiopathic oligoasthenoteratospermia

  • Alahmar, Ahmed T;Sengupta, Pallav;Dutta, Sulagna;Calogero, Aldo E.
    • Clinical and Experimental Reproductive Medicine
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    • 제48권2호
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    • pp.150-155
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    • 2021
  • Objective: Oxidative stress (OS) plays a key role in the etiology of unexplained male infertility. Coenzyme Q10 (CoQ10) is a potent antioxidant that may improve semen quality and OS in infertile men with idiopathic oligoasthenoteratospermia (OAT), but the underlying mechanism is unknown. Therefore, the present study was undertaken to investigate the effect of CoQ10 on OS markers and sperm DNA damage in infertile patients with idiopathic OAT. Methods: This prospective controlled study included 50 patients with idiopathic OAT and 50 fertile men who served as controls. All patients underwent a comprehensive medical assessment. Patients and controls received 200 mg of oral CoQ10 once daily for 3 months. Semen and blood were collected and analyzed for sperm parameters, seminal CoQ10 levels, reactive oxygen species (ROS) levels, total antioxidant capacity, catalase, sperm DNA fragmentation (SDF), and serum hormonal profile. Results: The administration of CoQ10 to patients with idiopathic OAT significantly improved sperm quality and seminal antioxidant status and significantly reduced total ROS and SDF levels compared to pretreatment values. Conclusion: CoQ10, at a dose of 200 mg/day for 3 months, may be a potential therapy for infertile patients with idiopathic OAT, as it improved sperm parameters and reduced OS and SDF in these patients.

T.Q.C.의 Check Point (A Study on the Check Point of T.Q.C.)

  • 김차리
    • 산업경영시스템학회지
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    • 제2권2호
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    • pp.83-91
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    • 1979
  • The purpose of this study is to analyze the direct relationship between doctors and number of patients to be treated by applying many kinds of I E's techniques. Generally, doctors in this research work both at OPD & IPD. Under the hospital manegement system that they are applying in, doctor's daily working schedules are instable because the numbers of OPD patients very daily. Therefore, the amount of time they spend for inward Patients are variable too. So the numbers of Patients have great influence to the whole hospital system management. In the first place, the author researched and analyzed a QC of administrative system. Tn the second place, the author carried out Work Sampling with a view for understanding quantity of a doctor's operation. The author suppose this research and analysis is one approach for improving systematic lay-out planning at outpatient waiting room where has many problems to be solved and suggest several process for improvement.

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일일 정도관리를 위한 Daily Check Device의 제작 및 효율성 평가 (Manufacture of Daily Check Device and Efficiency Evaluation for Daily Q.A)

  • 김찬용;제영완;박흥득;이제희
    • 대한방사선치료학회지
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    • 제17권2호
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    • pp.105-111
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    • 2005
  • 목 적 : 방사선 치료의 성적 향상과 안정성, 정확성을 위해 시행되고 있는 정도관리는 치료과정의 오류를 사전 점검하기 위해 무엇보다 우선되어야 할 항목이다. 최근 방사선 치료기술이 3차원적으로 다양화되면서 정도관리의 중요성이 증대되고 있으며, 일일 정도관리 시 업무능률 향상을 위하며 체계적이고 신속한 방법이 요구되었다. 이에 본원에서는 일일 점검항목을 동시에 확인할 수 있는 Device를 자체 제작하여 그 효율성을 평가해 보고자 한다. 대상 및 방법 : 출력선량, laser alignment, field size, SSD indicator 점검을 한 번의 set up으로 시행할 수 있도록 device의 전면중앙 아크릴판 (가로 $30{\times}$ 세로 $30cm^2$)의 2 cm 깊이에 반도체 검출기를 삽입하였다. 상단에 $10{\times}10,\;20{\times}20cm^2$의 정방형 표시를 하여 field size를 확인할 수 있게 하였으며, 좌우 측면에 수직교차선이 표시되어있는 $30{\times}20cm^2$의 아크릴판을 부착하였다. 본 device를 4개월(2005. $2{\sim}5$월) 동안 본원에 설치되어 있는 4대의 선형가속기 일일 정도 관리에 사용하여 오차 점검의 편리성과 업무의 효율성에 관해 적용해 보았다. 결 과 : 측정과정이 간편하고 소요시간이 5분 정도로 기존($10{\sim}15$분)보다 단축되어 일일점검의 효율성이 향상되었고, 출력선량측정은 각 Energy별로 ${\pm}2%$이내였으며, laser, field size, SSD indicator는 ${\pm}1mm$이내의 범위에서 측정되었다. 결 론 : 일일 점검의 소요시간 단축으로 인하며 업무능률이 향상되었고 일일 정도관리 기록을 바탕으로 월간, 연간 정도 관리 기초 자료로써의 활용이 가능하였다. 또한 제작된 Daliy Check Device는 상품화된 고가의 측정 장비를 대체함으로써 비용절감 효과를 얻을 수 있었으며, 사용자의 편의 개선을 위한 장치 재질의 견고성 및 가벼운 소재의 개발이 필요할 것으로 사료된다.

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The effect of coenzyme Q10 on endothelial function in a young population

  • Petrofsky, Jerrold;Laymon, M.;Lee, H.;Hernandez, E.;Dequine, D.;Thorsen, L.;Lovell, R.;Andrade, J.
    • Physical Therapy Rehabilitation Science
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    • 제1권1호
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    • pp.6-12
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    • 2012
  • Objective: Coenzyme (CoQ10) is an enzymatic co factor used in normal cellular metabolism. Recent evidence shows that in people with heart disease it can reverse endothelial cell damage in the blood vessels. It is also a potent antioxidant. Design: One group pretest-posttest design. Methods: In the present study, endothelial function was evaluated using the response to occlusion and heat before and 2 weeks after administration of CoQ10, 300 mg/day. Thirty Eight subjects, who are physical therapy students, participated in a series of experiments to see if taking 300 mg of CoQ10 daily for 2 weeks would impact resting blood flow in the forearm skin and the blood flow response to 4 minutes of vascular occlusion and the response to local heat ($42^{\circ}C$) for 6 minutes. Results: The results showed that, for this population, there was no difference in the response to heat. However, the response to occlusion was improved after administration of CoQ10. Conclusions: It would appear that in a young population CoQ10 has no effect on the nitric oxide vasodilator pathway in skin but does influence other vasodilator pathways.

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하구언 설치에 따른 하천유사량 변화에 관한 연구 (Reservoir Sedimentations of the Enclosure of Estuary Barraye in Gumgang Basin)

  • 이중기
    • 물과 미래
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    • 제9권1호
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    • pp.86-100
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    • 1976
  • To study influences on the downstream, and the Gunsan harbor by setting up estuary of the Gumgang, available data which were collected from the measuring stations which were established within the river basin of which results attained are as follows: 1. The discharge can be calculated as the relationship between the discharge and precipitation in the basin is $R=4{\times}10^{-4}p^2$ or R=P-600 2. The discharge flow in to small resevoirs in the basin can be estimated as $QR=QS\frac{PR-600}{PS-600}(\frac{AR}{AS})$ 3. This daily average discharge at Kongju is 31% less than the during maximum probable discharge and that in Okcheon is 48% less than the daily maximum probable flood. 4. The maximum probable flood from the small stream in the basin can be estimated by a $Q=82.45A^{0{\cdot}464}$ 5. Sediments can be computed with Qs (suspended load)=1.41 $Q^{1{\cdot}42}$ and Qb (bed load)=165.2 $Q^{0{\cdot}705}$. 6. By setting up the specific estuary the tidal movement will be reduced to 93.6% on the average and the sedimentation is reduced to 96.0%. Upon review of overall analysis, the dead wate level of estuary of Gumgang will completely sedimented in next 30 years, therefore, the dredging work at Gunsan harbor is reduced to 73.6%, it is considered that life length will be extended about 52years taking account the existing condition.

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수위유량곡선보정방법에 대하여 (A Method of Rating Curve Adjustment)

  • 박정근
    • 한국농공학회지
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    • 제18권2호
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    • pp.4116-4120
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    • 1976
  • With the use of many rivers increased nearly to the capacity, the need for information concerning daily quantities of water and the total annual or seasonal runoff has became increased. A systematic record of the flow of a river is commonly made in terms of the mean daily discharge Since. a single observation of stage is converted into discharge by means of rating curve, it is essential that the stage discharge relations shall be accurately established. All rating curves have the looping effect due chiefly to channel storage and variation in surface slope. Loop rating curves are most characteristic on streams with somewhat flatter gradients and more constricted channels. The great majority of gauge readings are taken by unskilled observers once a day without any indication of whether the stage is rising or falling. Therefore, normal rating curves shall show one discharge for one gauge height, regardless of falling or rising stage. The above reasons call for the correction of the discharge measurements taken on either side of flood waves to the theoretical steady-state condition. The correction of the discharge measurement is to consider channel storage and variation in surface slope. (1) Channel storage As the surface elevation of a river rises, water is temporarily stored in the river channel. There fore, the actual discharge at the control section can be attained by substracting the rate of change of storage from the measured discharge. (2) Variation in surface slope From the Manning equation, the steady state discharge Q in a channel of given roughness and cross-section, is given as {{{{Q PROPTO SQRT { 1} }}}} When the slope is not equal, the actual discharge will be {{{{ { Q}_{r CDOT f } PROPTO SQRT { 1 +- TRIANGLE I} CDOT TRIANGLE I }}}} may be expressed in the form of {{{{ TRIANGLE I= { dh/dt} over {c } }}}} and the celerity is approximately equal to 1.3 times the mean watrr velocity. Therefore, The steady-state discharge can be estimated from the following equation. {{{{Q= { { Q}_{r CDOT f } } over { SQRT { (1 +- { A CDOT dh/dt} over {1.3 { Q}_{r CDOT f }I } )} } }}}} If a sufficient number of observations are available, an alternative procedure can be applied. A rating curve may be drawn as a median line through the uncorrected values. The values of {{{{ { 1} over {cI } }}}} can be yielded from the measured quantities of Qr$.$f and dh/dt by use of Eq. (7) and (8). From the 1/cI v. stage relationship, new vlues of 1/cI are obtained and inserted in Eq. (7) and (8) to yield the steady-state discharge Q. The new values of Q are then plotted against stage as the corrected steadystate curve.

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Coenzyme Q10 improves sperm motility and antioxidant status in infertile men with idiopathic oligoasthenospermia

  • Ahmed T Alahmar
    • Clinical and Experimental Reproductive Medicine
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    • 제49권4호
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    • pp.277-284
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    • 2022
  • Objective: Oxidative stress is a key player in the development of idiopathic male infertility (IMI), and various antioxidants have been used for the treatment of IMI with inconsistent results. Coenzyme Q10 (CoQ10) is a cofactor and an antioxidant that may improve semen parameters and reduce oxidative stress in patients with idiopathic oligoasthenospermia (OA). Therefore, this study aimed to explore the effect of CoQ10 on semen parameters and antioxidant markers in patients with idiopathic OA. Methods: Fifty patients with idiopathic OA and 35 fertile controls were enrolled in this prospective controlled study. All participants underwent a comprehensive fertility assessment. All patients received CoQ10 (300 mg/day) orally once daily for 3 months. Semen parameters, seminal CoQ10 levels, reactive oxygen species (ROS) levels, total antioxidant capacity (TAC), superoxide dismutase (SOD), and glutathione peroxidase (GPx) were measured in patients and controls at the start of the study and after 3 months. Results: Treatment with CoQ10 resulted in increased sperm progressive motility (p<0.05), total motility (p<0.01), seminal TAC (p<0.01), SOD (p<0.05), GPx (p<0.001), and seminal CoQ10 (p<0.001) levels and reduced ROS (p<0.01) in patients as compared to baseline. Sperm concentration and motility were also significantly correlated with antioxidant measures and seminal CoQ10 levels (r=0.38-0.57). Conclusion: CoQ10 therapy (300 mg/day for 3 months) improved sperm motility and seminal antioxidant markers in patients with idiopathic OA. Therefore, CoQ10 could be a promising treatment for patients with idiopathic infertility and may improve their fertility potential.

일, 노동, 당신은 어떻게 생각하십니까?: Q방법론을 활용하여 (Work, Labor! What do you think about ? ; Using the Q-methodology)

  • 이순희;정명자;이도희
    • 한국콘텐츠학회논문지
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    • 제20권12호
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    • pp.547-554
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    • 2020
  • 본 연구는 우리가 하고 있는 일상의 업무, 일, 노동에 대하여 과연 어떻게 생각하고 있으며, 어떤 의미가 있는지를 고찰하고자 하였다. 특히, 본 연구에서는 '질적연구'의 하나인 'Q방법론'을 활용하여 일반 근로자를 대상으로 자신의 일, 노동에 대한 생각에서 출발하였다. 이에 일련의 Q분석과정을 거치면서, 다음과 같은 분석 결과를 도출하였다. 첫째, 유형화 분석결과 3개의 유형이 추출되었고, 각 유형별로 강조하고 있는 Q진술문을 바탕으로 다음과 같이 명명하였다. <유형I>은 일, 노동은 '축복/행복', '휴식', '애인', '보람'과 같은 진술문을 강조하고 있어, 「긍정형」으로 명명하였다. <유형II>는 '괴로움', '하루시작', '의무', '전쟁'과 같은 진술문이 강조하고 있어, 「부정형」으로 명명하였다. <유형III>은 '동료 및 벗'과 '학습' 등이 긍정진술문으로 나타났고, '하루시작', '의무', '휴식'등은 부정진술문으로 나타나고 있어, 「긍정중립형」으로 명명하였다. 분석결과에서 볼 수 있듯이, 우리의 일상에서 빼놓을 수 없는 존재인 '일', '노동'은 꼭 해야만 하는 축복이고 행복이며, 동료나 벗이기도 하지만, 그 존재의 가치는 적당한 '휴식'을 전제할 때 가능한 것임을 알 수 있다. 더불어 Q방법론이 가설발견적 접근방법으로써의 유용성과 더불어, 향후 실증연구로의 확장연구를 기대한다.

하천공사 대표공종의 작업조 구성 및 생산성 정보 개발 (A Study on the Development of Work-Crew Based Daily-Productivity for Representative B.O.Q Item in River Conservation Project)

  • 유덕열;박형근;임형민
    • 대한토목학회논문집
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    • 제33권6호
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    • pp.2519-2528
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    • 2013
  • 표준품셈은 공공기관 및 민간기관의 공사비를 책정하는 기본적인 자료로 이용되고 있다. 본 논문은 하천공사에서 선정된 대표공종을 대상으로 새로운 형식의 표준품셈 및 장비의 작업량 산출방식을 제안하고자 한다. 품셈에서 작업조 구성의 정보 및 1일 생산성 정보의 제공이 가능하도록 함으로써 공정계획 단계에서 품셈의 적용성을 향상시키고 장비의 작업량 산출과정을 간소화하여 사용자의 편의성을 증대할 수 있기를 기대한다. 하천공사의 경우 작업조건이라는 변수가 매우 크게 작용하기 때문에 생산성 정보 및 기계의 작업량을 일반화 하는 것은 많은 어려움이 존재하지만 지속적인 생산성 정보와 기계의 작업량 정보를 개선하여 정확도를 향상할 수 있다면 품셈을 통한 공정계획 수립 및 적산과정의 간소화가 가능할 것이다.