• Title/Summary/Keyword: quality factors

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The Process of Utilizing Childcare Support Services for Working Mothers with Children under Age 2 in South Korea (만 2세 이하 자녀를 둔 취업모의 육아지원 서비스 이용 과정)

  • Eunji Kim;Juyeon Han;Seung-Lee Do;Eunsoo Choi;Joonha Park
    • Korean Journal of Culture and Social Issue
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    • v.30 no.3
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    • pp.267-298
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    • 2024
  • Childcare support for working mothers is crucial for women's smooth transition into society, career development, and well-being. Based on interviews with 10 Korean working mothers with children aged 0-2, this paper explores the process of utilizing childcare support services, psychological experiences, and plans for work-life balance using the grounded theory analysis method. The analysis revealed three categories: the decision-making process before using the childcare services (past), experiences during the use of childcare support (present), and future plans for work-life balance (future). The decision-making process before using childcare support services consisted of the following categories: seeking information about childcare support services, having family discussions during the decision-making process, the proposer and decision-maker of the services, and the final decision on childcare support services. Experiences during the use of services included economic burdens, changes in postnatal career paths, disparities between expectations and the reality of pre- and post-childbirth, discrepancies between expectations and reality in work-family balance, factors affecting of quality of life, and the division of household and childcare responsibilities with husbands. Plans for future work-life balance included categories such as the desire for career advancement, the desire to maintain a career, the desire for temporary or reduced career commitment, and uncertainty regarding future career plans. Finally, the study investigated whether there were differences in the past and present service usage processes and experiences based on plans for future work-life balance. This research suggests the need for multidimensional support for working mothers' work-family balance and well-being, and highlights the need to reduce uncertainty about women's future careers.

The Effects of Shift Work Nurses' Job Stress, Job Involvement, and Goal Orientation on Work-Life Balance (교대근무간호사의 직무스트레스, 직무몰입, 목표지향성이 일과 삶의 균형에 미치는 영향)

  • Su Mi Choi;Nam Joo Je
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.5
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    • pp.29-39
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    • 2024
  • This study attempted to determine the effect of job stress, job involvement, and goal orientation on work-life balance for shift nurses. The subjects of the study were 128 shift nurses working at a hospital in city C of province G. Date were conducted from April 01 to April 15, 2024 using a Google questionnaire. The collected data were analyzed by correlation and multiple regression analysis. The total explanatory power was 28.0%. The results of this study showed significant differences in job stress(β=.405, p<.001), goal orientation(β=-265, p=.002), and job involvement(β=.174, p=.037) as factors affecting the work-life balance of shift nurses. Therefore, it is expected to have a positive impact on patient health by contributing to the improvement of the quality of nursing services by forming an organizational culture that avoids excessive goal setting and allows employees to concentrate on their work with appropriate stress management. This suggests that nurses are not only individuals but also professional medical practitioners, and that maintaining a healthy work-life balance is crucial for the country's human resources, which requires institutional support at the government level.

Concert Oriented Music Therapy Alleviates Depression in the Elderly in a Nursing Home (연주회 중심 음악치료의 요양 시설 노인에 대한 우울증 완화 효과)

  • Geum Na Hong;Seong Chan Kim;Min Joo Choi
    • Journal of Naturopathy
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    • v.12 no.2
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    • pp.35-44
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    • 2023
  • Background: The need to study the effects of concert oriented music therapy (COMT) on a diverse range of subjects. Purpose: This study aimed to verify the effectiveness of Concert Oriented Music Therapy (COMT), a technique based on active music activities, in alleviating depression among the elderly in a nursing home. Methods: COMT program was prepared, which was designed to enable participants to express and explore emotions through music in a creative environment, being divided into 'Therapeutic music making' and 'Concert activities,' The 70 elderly residents in a nursing facility were randomly assigned to either an experimental (n=35) or a control group (n=35). The 3 participants withdrew, and a total of 67 completed the COMT intervention program. Results: The experimental group receiving COMT intervention showed a significant reduction in the average GDS-K score from 20.34 to 15.18 (p<.001), with notable decreases observed in the cognitive function and depression factors. Conclusion: The COMT was found to effectively reduce depression, particularly, related to cognitive function, for the elderly residents in a nursing facilities. The COMT intervention program is expected to be beneficial in improving the quality of life for the elderly in a nursing home, susceptible to depression

Preliminary Feasibility Study for Korean Lung Capacity Prediction Formula: Focused on Statistical Test Model (한국인 폐활량 예측산식을 위한 예비타당성 연구: 통계검정모델 중심)

  • Myungmo Lee;Younjung Oh;Samho Park;Weechang Kang
    • Journal of Korean Physical Therapy Science
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    • v.31 no.3
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    • pp.31-50
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    • 2024
  • Background: The lung capacity prediction formula in Korea is an important judgment standard. Since there is no appropriate lung capacity prediction formula, various prediction formulas are used for foreigners such as Northeast Asians. The purpose of this study is to develop a lung capacity prediction equation by selecting data and setting the selection criteria for normal subjects in accordance with international standards through strict quality control, and to propose a new prediction model. Design: Preliminary feasibility study Methods: A total of 857 people who met the criteria for normal people were finally collected. The tester used for the lung capacity test was the V-Max Encore 22 (Carefusion, California, USA), which is a lung capacity tester proposed by the Korean Society of Tuberculosis and Respiratory Medicine and satisfies accuracy and precision. Among the indicators measured using spirometry, forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), forced expiratory volume ratio in 1 second (FEV1/FVC), forced mid-expiratory flow (Forced expiratory flow 25-75%, FEF25-75%) and peak expiratory flow (PEF) values were collected. Results: This study confirmed a significant correlation between age, height, weight, and pulmonary function indicators. Additionally, it found a correlation between body mass index, which considers the diversity of physical conditions, and pulmonary function indicators. Graphs depicting age-specific pulmonary function indicators by gender, presented as generalized additive model results from collected data, showed a pattern where both FVC and FEV1 increased until the mid-20s and then gradually decreased with aging. FEV1% and PEF exhibited a continuous decrease with aging. Conclusion: This study confirms that there is a significant correlation between weight and pulmonary function in the prediction formula for lung capacity. Additionally, it verifies the correlation between body mass index, which considers the diversity of physical conditions, and pulmonary function. The study suggests that the predicted values are relatively low due to factors such as aging and environmental influences like COVID-19. This preliminary study holds clinical significance for improving the diagnostic accuracy of respiratory symptoms in the elderly.

A Study on the Relationship Between Online Community Characteristics and Loyalty : Focused on Mediating Roles of Self-Congruency, Consumer Experience, and Consumer to Consumer Interactivity (온라인 커뮤니티 특성과 충성도 간의 관계에 대한 연구: 자아일치성, 소비자 체험, 상호작용성의 매개적 역할을 중심으로)

  • Kim, Moon-Tae;Ock, Jung-Won
    • Journal of Global Scholars of Marketing Science
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    • v.18 no.4
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    • pp.157-194
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    • 2008
  • The popularity of communities on the internet has captured the attention of marketing scholars and practitioners. By adapting to the culture of the internet, however, and providing consumer with the ability to interact with one another in addition to the company, businesses can build new and deeper relationships with customers. The economic potential of online communities has been discussed with much hope in the many popular papers. In contrast to this enthusiastic prognostications, empirical and practical evidence regarding the economic potential of the online community has shown a little different conclusion. To date, even communities with high levels of membership and vibrant social arenas have failed to build financial viability. In this perspective, this study investigates the role of various kinds of influencing factors to online community loyalty and basically suggests the framework that explains the process of building purchase loyalty. Even though the importance of building loyalty in an online environment has been emphasized from the marketing theorists and practitioners, there is no sufficient research conclusion about what is the process of building purchase loyalty and the most powerful factors that influence to it. In this study, the process of building purchase loyalty is divided into three levels; characteristics of community site such as content superiority, site vividness, navigation easiness, and customerization, the mediating variables such as self congruency, consumer experience, and consumer to consumer interactivity, and finally various factors about online community loyalty such as visit loyalty, affect, trust, and purchase loyalty are those things. And the findings of this research are as follows. First, consumer-to-consumer interactivity is an important factor to online community purchase loyalty and other loyalty factors. This means, in order to interact with other people more actively, many participants in online community have the willingness to buy some kinds of products such as music, content, avatar, and etc. From this perspective, marketers of online community have to create some online environments in order that consumers can easily interact with other consumers and make some site environments in order that consumer can feel experience in this site is interesting and self congruency is higher than at other community sites. It has been argued that giving consumers a good experience is vital in cyber space, and websites create an active (rather than passive) customer by their nature. Some researchers have tried to pin down the positive experience, with limited success and less empirical support. Web sites can provide a cognitively stimulating experience for the user. We define the online community experience as playfulness based on the past studies. Playfulness is created by the excitement generated through a website's content and measured using three descriptors Marketers can promote using and visiting online communities, which deliver a superior web experience, to influence their customers' attitudes and actions, encouraging high involvement with those communities. Specially, we suggest that transcendent customer experiences(TCEs) which have aspects of flow and/or peak experience, can generate lasting shifts in beliefs and attitudes including subjective self-transformation and facilitate strong consumer's ties to a online community. And we find that website success is closely related to positive website experiences: consumers will spend more time on the site, interacting with other users. As we can see figure 2, visit loyalty and consumer affect toward the online community site didn't directly influence to purchase loyalty. This implies that there may be a little different situations here in online community site compared to online shopping mall studies that shows close relations between revisit intention and purchase intention. There are so many alternative sites on web, consumers do not want to spend money to buy content and etc. In this sense, marketers of community websites must know consumers' affect toward online community site is not a last goal and important factor to influnece consumers' purchase. Third, building good content environment can be a really important marketing tool to create a competitive advantage in cyberspace. For example, Cyworld, Korea's number one community site shows distinctive superiority in the consumer evaluations of content characteristics such as content superiority, site vividness, and customerization. Particularly, comsumer evaluation about customerization was remarkably higher than the other sites. In this point, we can conclude that providing comsumers with good, unique and highly customized content will be urgent and important task directly and indirectly impacting to self congruency, consumer experience, c-to-c interactivity, and various loyalty factors of online community. By creating enjoyable, useful, and unique online community environments, online community portals such as Daum, Naver, and Cyworld are able to build customer loyalty to a degree that many of today's online marketer can only dream of these loyalty, in turn, generates strong economic returns. Another way to build good online community site is to provide consumers with an interactive, fun, experience-oriented or experiential Web site. Elements that can make a dot.com's Web site experiential include graphics, 3-D images, animation, video and audio capabilities. In addition, chat rooms and real-time customer service applications (which link site visitors directly to other visitors, or with company support personnel, respectively) are also being used to make web sites more interactive. Researchers note that online communities are increasingly incorporating such applications in their Web sites, in order to make consumers' online shopping experience more similar to that of an offline store. That is, if consumers are able to experience sensory stimulation (e.g. via 3-D images and audio sound), interact with other consumers (e.g., via chat rooms), and interact with sales or support people (e.g. via a real-time chat interface or e-mail), then they are likely to have a more positive dot.com experience, and develop a more positive image toward the online company itself). Analysts caution, however, that, while high quality graphics, animation and the like may create a fun experience for consumers, when heavily used, they can slow site navigation, resulting in frustrated consumers, who may never return to a site. Consequently, some analysts suggest that, at least with current technology, the rule-of-thumb is that less is more. That is, while graphics etc. can draw consumers to a site, they should be kept to a minimum, so as not to impact negatively on consumers' overall site experience.

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Problems in the Korean National Family Planning Program (한국가족계획사업(韓國家族計劃事業)의 문제점(問題點))

  • Hong, Jong-Kwan
    • Clinical and Experimental Reproductive Medicine
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    • v.2 no.2
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    • pp.27-36
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    • 1975
  • The success of the family planning program in Korea is reflected in the decrease in the growth rate from 3.0% in 1962 to 2.0% in 1971, and in the decrease in the fertility rate from 43/1,000 in 1960 to 29/1,000 in 1970. However, it would be erroneous to attribute these reductions entirely to the family planning program. Other socio-economic factors, such as the increasing age at marriage and the increasing use of induced abortions, definitely had an impact on the lowered growth and fertility rate. Despite the relative success of the program to data in meeting its goals, there is no room for complacency. Meeting the goal of a further reduction in the population growth rate to 1.3% by 1981 is a much more difficult task than any one faced in the past. Not only must fertility be lowered further, but the size of the target population itself will expand tremendously in the late seventies; due to the post-war baby boom of the 1950's reaching reproductive ages. Furthermore, it is doubtful that the age at marriage will continue to rise as in the past or that the incidence of induced abortion will continue to increase. Consequently, future reductions in fertility will be more dependent on the performance of the national family planning program, with less assistance from these non-program factors. This paper will describe various approaches to help to the solution of these current problems. 1. PRACTICE RATE IN FAMILY PLANNING In 1973, the attitude (approval) and knowledge rates were quite high; 94% and 98% respectively. But a large gap exists between that and the actual practice rate, which is only 3695. Two factors must be considered in attempting to close the KAP-gap. The first is to change social norms, which still favor a larger family, increasing the practice rate cannot be done very quickly. The second point to consider is that the family planning program has not yet reached all the eligible women. A 1973 study determineded that a large portion, 3096 in fact, of all eligible women do not want more children, but are not practicing family planning. Thus, future efforts to help close the KAP-gap must focus attention and services on this important large group of potential acceptors. 2. CONTINUATION RATES Dissatisfaction with the loop and pill has resulted in high discontinuation rates. For example, a 1973 survey revealed that within the first six months initial loop acceptance. nearly 50% were dropouts, and that within the first four months of inital pill acceptance. nearly 50% were dropouts. These discontinuation rates have risen over the past few years. The high rate of discontinuance obviously decreases the contraceptive effectiveness. and has resulted in many unwanted births which is directly related to the increase of induced abortions. In the future, the family planning program must emphasize the improved quality of initial and follow-up services. rather than more quantity, in order to insure higher continuation rates and thus more effective contraceptive protection. 3. INDUCED ABORTION As noted earlier. the use of induced abortions has been increase yearly. For example, in 1960, the average number of abortions was 0.6 abortions per women in the 15-44 age range. By 1970. that had increased to 2 abortions per women. In 1966. 13% of all women between 15-44 had experienced at least one abortion. By 1971, that figure jumped to 28%. In 1973 alone, the total number of abortions was 400,000. Besides the ever incre.sing number of induced abortions, another change has that those who use abortions have shifted since 1965 to include- not. only the middle class, but also rural and low-income women. In the future. in response to the demand for abortion services among rural and low-income w~men, the government must provide and support abortion services for these women as a part of the national family planning program. 4. TARGET SYSTIi:M Since 1962, the nationwide target system has been used to set a target for each method, and the target number of acceptors is then apportioned out to various sub-areas according to the number of eligible couples in each area. Because these targets are set without consideration for demographic factors, particular tastes, prejudices, and previous patterns of acceptance in the area, a high discontinuation rate for all methods and a high wastage rate for the oral pill and condom results. In the future. to alleviate these problems of the methodbased target system. an alternative. such as the weighted-credit system, should be adopted on a nation wide basis. In this system. each contraceptive method is. assigned a specific number of points based upon the couple-years of protection (CYP) provided by the method. and no specific targets for each method are given. 5. INCREASE OF STERILIZA.TION TARGET Two special projects. the hospital-based family planning program and the armed forces program, has greatly contributed to the increasing acceptance in female and male sterilization respectively. From January-September 1974, 28,773 sterilizations were performed. During the same time in 1975, 46,894 were performed; a 63% increase. If this trend continues, by the end of 1975. approximately 70,000 sterilizations will have been performed. Sterilization is a much better method than both the loop and pill, in terms of more effective contraceptive protection and the almost zero dropout rate. In the future, the. family planning program should continue to stress the special programs which make more sterilizations possible. In particular, it should seek to add the laparoscope techniques to facilitate female sterilization acceptance rates. 6. INCREASE NUMBER OF PRIVATE ACCEPTORS Among the current family planning users, approximately 1/3 are in the private sector and thus do not- require government subsidy. The number of private acceptors increases with increasing urbanization and economic growth. To speed this process, the government initiated the special hospital based family planning program which is utilized mostly by the private sector. However, in the future, to further hasten the increase of private acceptors, the government should encourage doctors in private practice to provide family planning services, and provide the contraceptive supplies. This way, those do utilize the private medical system will also be able to receive family planning services and pay for it. Another means of increasing the number of private acceptors, IS to greatly expand the commercial outlets for pills and condoms beyond the existing service points of drugstores, hospitals, and health centers. 7. IE&C PROGRAM The current preferred family size is nearly twice as high as needed to achieve a stable poplation. Also, a strong boy preference hinders a small family size as nearly all couples fuel they must have at least one or more sons. The IE&C program must, in the future, strive to emphasize the values of the small family and equality of the sexes. A second problem for the IE&C program to work. with in the: future is the large group of people who approves family planning, want no more children, but do not practice. The IE&C program must work to motivate these people to accept family planning And finally, for those who already practice, an IE&C program in the future must stress continuation of use. The IE&C campaign, to insure highest effectiveness, should be based on a detailed factor analysis of contraceptive discontinuance. In conclusion, Korea faces a serious unfavorable sociodemographic situation- in the future unless the population growth rate can be curtailed. And in the future, the decrease in fertility will depend solely on the family planning program, as the effect of other socio-economic factors has already been maximumally felt. A second serious factor to consider is the increasing number of eligible women due to the 1950's baby boom. Thus, to meet these challenges, the program target must be increased and the program must improve the effectiveness of its current activities and develop new programs.

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Applying QFD in the Development of Sensible Brassiere for Middle Aged Women (QFD(품질 기능 전개도)를 이용한 중년 여성의 감성 Brassiere 개발)

  • Kim Jeong-hwa;Hong Kyung-hi;Scheurell Diane M.
    • Journal of the Korean Society of Clothing and Textiles
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    • v.28 no.12 s.138
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    • pp.1596-1604
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    • 2004
  • Quality Function Deployment(QFD) is a product development tool which ensures that the voice of the customer needs is heard and translated into products. To develop a sensible brassiere for middle-aged women QFD was adopted. In this study the applicability and usefulness of QFD was examined through the engineering design process for a sensible brassiere for middle-aged women. The customer needs for the wear comfort of brassiere was made by one-on-one survey of 100 women who aged 30-40. The customer competitive assessment was generated by wearing tests of 10 commercial brassieres. The subjective assessment was conducted in the enviornmental chamber that was controlled at $28{\pm}1^{\circ}C,\;65{\pm}3\%RH.$ As a results, we developed twenty-one customer needs and corresponding HOWs for the wear comfort of brassiere. The Customer Competitive Assessment was generated by wearing tests of commercial brassiere. The subjective measurement scale and dimension for the evaluation of sensible brassiere were extracted from factor analysis. Four factors were fitting, aesthetic property, pressure sensation, displacement of brassiere due to movement. The most critical design parameter was wire-related property and second one was stretchability of main material of brassiere. Also, wearing comfort of brassiere was affected by the interaction of initial stretchability of wing and support of strap. Engineering design process, QFD was applicable to the development of technical and aesthetic brassieres.

Development of Geometric Calibration Method for Triple Head Pinhole SPECT System (삼중헤드 SPECT에서 기하학적 보정 기법의 개발)

  • Kim, Joong-Hyun;Lee, Jae-Sung;Lee, Won-Woo;Park, So-Yeon;Son, Ji-Yeon;Kim, Yu-Kyeong;Kim, Sang-Eun;Lee, Dong-Soo
    • Nuclear Medicine and Molecular Imaging
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    • v.42 no.1
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    • pp.61-69
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    • 2008
  • Purpose: Micro-pinhole SPECT system with conventional multiple-head gamma cameras has the advantage of high magnification factor for imaging of rodents. However, several geometric factors should be calibrated to obtain the SPECT image with good image quality. We developed a simplified geometric calibration method for rotating triple-head pinhole SPECT system and assessed the effects of the calibration using several phantom and rodent imaging studies. Materials and Methods: Trionix Triad XLT9 triple-head SPECT scanner with 1.0 mm pinhole apertures were used for the experiments. Approximately centered point source was scanned to track the angle-dependent positioning errors. The centroid of point source was determined by the center of mass calculation. Axially departed two point sources were scanned to calibrate radius of rotation from pinhole to center of rotation. To verify the improvements by the geometric calibration, we compared the spatial resolution of the reconstructed image of Tc-99m point source with and without the calibration. SPECT image of micro performance phantom with hot rod inserts was acquired and several animal imaging studies were performed. Results: Exact sphere shape of the point source was obtained by applying the calibration and axial resolution was improved. Lesion detectibility and image quality was also much improved by the calibration in the phantom and animal studies. Conclusion: Serious degradation of micro-pinhole SPECT images due to the geometric errors could be corrected using a simplified calibration method using only one or two point sources.

Analysis of Output Constancy Checks Using Process Control Techniques in Linear Accelerators (선형가속기의 출력 특성에 대한 공정능력과 공정가능성을 이용한 통계적 분석)

  • Oh, Se An;Yea, Ji Woon;Kim, Sang Won;Lee, Rena;Kim, Sung Kyu
    • Progress in Medical Physics
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    • v.25 no.3
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    • pp.185-192
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    • 2014
  • The purpose of this study is to evaluate the results for the quality assurance through a statistical analysis on the output characteristics of linear accelerators belonging to Yeungnam University Medical Center by using the Shewhart-type chart, Exponentially weighted moving average chart (EWMA) chart, and process capability indices $C_p$ and $C_{pk}$. To achieve this, we used the output values measured using respective treatment devices (21EX, 21EX-S, and Novalis Tx) by medical physicists every month from September, 2012 to April, 2014. The output characteristics of treatment devices followed the IAEA TRS-398 guidelines, and the measurements included photon beams of 6 MV, 10 MV, and 15 MV and electron beams of 4 MeV, 6 MeV, 9 MeV, 12 MeV, 16MeV, and 20 MeV. The statistical analysis was done for the output characteristics measured, and was corrected every month. The width of control limit of weighting factors and measurement values were calculated as ${\lambda}=0.10$ and L=2.703, respectively; and the process capability indices $C_p$ and $C_{pk}$ were greater than or equal to 1 for all energies of the linear accelerators (21EX, 21EX-S, and Novalis Tx). Measured values of output doses with drastic and minor changes were found through the Shewhart-type chart and EWMA chart, respectively. The process capability indices $C_p$ and $C_{pk}$ of the treatment devices in our institution were, respectively, 2.384 and 2.136 for 21EX, 1.917 and 1.682 for 21EX-S, and 2.895 and 2.473 for Novalis Tx, proving that Novalis Tx has the most stable and accurate output characteristics.

A Study of Temporomandibular Disorders and Food Intake Ability among Dental Clinic Outpatients (일부 치과 외래환자의 측두하악장애 실태와 음식섭취능력에 관한 연구)

  • Han, Se-Young;Yu, Ji-Su
    • Journal of dental hygiene science
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    • v.11 no.3
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    • pp.285-292
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    • 2011
  • The purpose of this study was to analyze and investigate temporomandibular disorders(TMD) and dental clinic outpatients by food intake ability to improve the quality of life. A survey of questionnaires with 208 subjects visiting a dental clinics located in Daejeon city from January to September in 2010 was performed. Analysis were performed with survey results, in which a symptoms of TMD, parafunctional habits and abnormal functions, food intake ability : 1. The main symptoms of TMD showed pain on TMJ(45.7%), pain on joint sound(45.2%), pain during chewing(41.3%), pain during mouth opening(38.0%), pain during non chewing(19.7%) and pain on joint dislocation(13.0%) in turn. 2. The symptoms of TMD by gender showed joint dislocation of 18.0% for male and 8.3% for female(p=0.038); pain on chewing of 49.0% for male and 34.3% for female(p=0.031), which were statistically significant. 3. The parafunctional habits and abnormal functions by gender showed clenching habit of 35.0% for male and 22.0% for female; bruxism of 21.0% for male and 9.3% for female, which were statistically significant. 4. The symptoms of TMD by age showed 52.8% of 27.8% for often and 25.0% for sometimes of 21-30 age in pain on TMJ, which were statistically significant(p=0.001). 5. The parafunctional habits and abnormal functions by age showed over 31 age of 48.3%, which were statistically significant(p=0.003). 6. The food intake ability by symptoms of TMD showed no joint sound(p=0.000), no pain on chewing(p=0.000) and without pain on TMJ(p=0.000), which were statistically significant. 7. The food intake ability by parafunctional habits and abnormal functions showed no clenching habit(p=0.000), no bruxism(p=0.000) and no headache, which were statistically significant. 8. The distribution type of operation by symptoms of TMD showed 30.8% of rest, 24.0% of physical medicine and 16.4% of pharmacotherapy. The pain on chewing showed 36.0% of pharmacotherapy; 52.4% of pain on TMJ for often and 40.5% for sometimes, in which pharmacotherapy and physical medicine were statistically significant(p=0.000). These results showed that management run parallel with survey for multiple factors in TMD we consider aspect of physical, social, physiology to enhance quality of life to increase food intake, construction of program for treatment and prevention because the individual differences need to be multifaceted, further research is suggested to continue.