• Title/Summary/Keyword: quality improvement measures

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Improvement of GOCI-II Ground System for Monitoring of Level-1 Data Quality (천리안 해양위성 2호 Level-1 영상의 품질관리를 위한 지상국 시스템 개선)

  • Sun-Ju Lee;Kum-Hui Oh;Gm-Sil Kang;Woo-Chang Choi;Jong-Kuk Choi;Jae-Hyun Ahn
    • Korean Journal of Remote Sensing
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    • v.39 no.6_2
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    • pp.1529-1539
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    • 2023
  • The data from Geostationary Ocean Color Imager-II (GOCI-II), which observes the color of the sea to monitor marine environments, undergoes various correction processes in the ground station system, producing data from Raw to Level-2 (L2). Quality issues arising at each processing stage accumulate step by step, leading to an amplification of errors in the satellite data. To address this, improvements were made to the GOCI-II ground station system to measure potential optical quality and geolocation accuracy errors in the Level-1A/B (L1A/B) data. A newly established Radiometric and Geometric Performance Assessment Module (RGPAM) now measures five optical quality factors and four geolocation accuracy factors in near real-time. Testing with GOCI-II data has shown that RGPAM's functions, including data processing, display and download of measurement results, work well. The performance metrics obtained through RGPAM are expected to serve as foundational data for real-time radiometric correction model enhancements, assessment of L1 data quality consistency, and the development of reprocessing strategies to address identified issues related to the GOCI-II detector's sensitivity degradation.

An Index of Visual Function in Patients with Cataract - Pilot study - (백내장 환자의 시기능지표 - 사전 연구를 중심으로 -)

  • Kang, Hyung-Gon;Park, Eun-Cheol;Choi, Yoon Jung;Kim, Han Joong;Hong, Young Jai;Cho, Woo Hyun;Sohn, Myongsei;Lim, Seung Jeong
    • Quality Improvement in Health Care
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    • v.5 no.1
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    • pp.128-138
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    • 1998
  • Background : There is increased recognition that rigorous approach to functional assessment will complement the assessment of clinical status. This study is to develop the appropriate visual function index in Korean patients with cataracts by the assessment of the reliability, validity of visual function indexes including VF-14. Methods : An prospective study was performed with 92 patients who had undergone either one eye or both eye cataract surgery by 3 ophthalmologists practicing at a university hospital. Patients were interviewed. and clinical data were obtained. Doctors were questioned with self-entered questionnaire forms. Medical record was examined to understand surgery process. The survey was conducted at 1-2 days before cataract surgery. Results : We used following measures : 7 visual function indexes, global measures of patients' trouble and satisfaction with vision, and best-corrected visual acuity(VA) in each eye. 7 visual function indexes showed a high internal consistency reliability (Cronbach's alpha coefficients ${\geq}$ 0.86). The better visual acuity(operated eye, better eye), the higher patient satisfaction with vision, the lower symptom score, the lower patient trouble with vision was correlated with preoperative visual function index scores. Among 7 indexes, VF-12 with the exclusion of 2 items drivings from VF-14 is a high Cronbach's alpha coefficient and correlation coefficient and the highest $R^2$. Conclusion : We conclude that VF-12 is reliable and valid in Korea. So we suggest that in Korea, all items of VF-14, the visual function index, which is in use internationally, ought to be surveyed and VF-12 which has been excluded by 2 items of drivings from VF-14 ought to be used for analysis.

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Comparing Quality of Life following Liver Transplantation for Cadaveric versus Living Donor Liver Transplant Recipients: A Single-Center Study (사체간이식 환자와 생체간이식 환자들의 삶의 질 비교 연구)

  • Kim, Gum Hi;Yoon, Seok-Jun;Ahn, Hyeong-Sik;Lee, Jun-Young;Park, Hyeung-Keun;Suh, Kyung-Suk
    • Quality Improvement in Health Care
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    • v.11 no.1
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    • pp.32-45
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    • 2004
  • Objective : The aim of this study were to measure quality of life(QOL) in liver transplant recipients, to compare QOL between living donor liver transplant recipients and cadaveric liver transplant recipients and to investigate whether SF-36 may be used as a disease-specific instrument in liver transplant recipients. Methods : We conducted a single-center cross-sectional study of 133 LT recipients ages 13 to 65 years, all of whom had had Liver Transplantation(LT) at least 1 months previously. QOL was assessed using a self-completion questionnaire consisting of the Bang Whal Ran(1991) instruments and the 36-Item Short-Form Health Survey(SF-36) health status profile measure. We investigated whether the SF-36 instrument may be used as a disease-specific instrument in LT recipients. Individual scale scores range from 0 to 100, with higher score reflecting better health. Data on demographics, clinical status at pre transplantation 1 day, post transplantation clinical status, and graft function were collected to identify predictors of post transplantation QOL. Results : Standard measures for test-retest reliability, internal consistency, and discriminant and concurrent validity were examined. The reliability of the SF-36, as measured by test-retest correlation(Pearson coefficients: 0.729, p=0.002) and by internal consistency(Cronbach's alpha: 0.9431) exceeded conventional acceptability criteria. The correlation between domain scores of SF-36 and the Bang Whal Ran(l991) was clear and logical in that the clinical characteristics of SF-36 strongly correlated with the clinical component summary score of the Bang Whal Ran(l991)(r = 0.8155, P<.01). SF-36 scale scores were compared between Cadaveric Liver Transplant recipients and Living Donor Liver Transplant recipients. Donor types of post LT did not influence HRQOL(p>0.05). 87% of the liver transplant recipients were satisfied to get LT. Satisfaction of post LT showed significantly greater HRQOL(p<0.001). Conclusion : SF-36 is found reliable and valid. This study indicates thet Donor Type did not influence HRQOL after LT. The information gained from this study will help us to better define expectations and the clinical course after liver transplantation to patients and their families.

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The Effects of Low-sodium Diet Education Program on Dietary Habits, Diet Quality and Obesity Index in Overweight and Obese Middle-aged Women (저나트륨 식생활 교육이 과체중 및 비만 중년여성의 식습관, 식사의 질 및 비만지표에 미치는 영향)

  • Jeong, Soo Bin;Park, Seoyun;Ahn, Sohyun;Kim, Jin Nam;Kim, Hye-Kyeong
    • Korean Journal of Community Nutrition
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    • v.19 no.6
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    • pp.513-526
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    • 2014
  • Objectives: This study was conducted to investigate the effect of low sodium diet education program on dietary habits, diet quality, and measures of obesity in overweight or obese middle-aged women. Methods: Subjects were 81 individuals aged 45 years or over, who completed an 8-week nutrition education. The subjects were divided into a normal group (N = 30) and an overweight-obese group (N = 51) according to the BMI. The effects were evaluated by anthropometric measurement, biochemical analysis, questionnaire, and diet records before and after the program. Results: Overweight-obese group showed significant decreases in weight (p < 0.0001), BMI (p < 0.0001), percent of body fat (p = 0.0087), waist circumference (p < 0.0001), systolic (p = 0.0003) and diastolic blood pressure (p = 0.0261). Nutrients intakes were not different between the two groups and only sodium intake was decreased after education. Total score of general dietary habits, dietary behavior related to sodium intake, dietary diversity score (DDS), diet variety score (DVS), and diet quality index-international (DQI-I) were improved in both groups compared to the baseline. Overweight-obese group showed significant improvement in 'having fruits everyday', 'having fish everyday', 'trying to eat many kinds of food', 'eating less broth when eating soup, stew, and noodles', 'eating less kimchi and salt-fermented vegetable', and 'propensity to think that dishes should be pretty seasoned'. In addition, moderation of empty calories food (p = 0.0064) and macronutrient ratio (p = 0.0004) were improved in the overweigh-obese group, but in the normal group, the results did not reach statistical significance. Conclusions: These results suggested that low sodium diet education program may contribute to obesity management by improving diet quality and dietary habits in middle-aged women.

Study on the Experience of Unbelief in the Process of Providing Home Visiting Care Service: Focusing on the perspective of the Facility Director (재가방문요양 서비스 제공과정에서 겪는 불신경험에 관한 연구: 시설운영자 관점을 중심으로)

  • Jun-Suk Kim;Ji-Hye Kim;Jung-Mi Kim;Mi-Young Park;Byung Woo Lim
    • Journal of Industrial Convergence
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    • v.21 no.10
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    • pp.65-80
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    • 2023
  • Through inductive content analysis, this study sought to examine the crisis experienced by the institution, the quality of service, and the distrust of the system and institution based on the experience of distrust in the home-visiting care service of bbeneficiary and guardians. FGI was conducted on five managers of institutions that provide home-visiting care services. As a result, the central phenomenon was found: deterioration of service quality, distrust of systems and institutions, and difficulties in opera-ting long-term care institutions. In order to improve the quality of home-visited care services and build trust in care workers and institutions, first, home-based associations or operating corporations should develop new education program plans and manuals to strengthen the capabilities of care workers and social workers. Second, the NHIS's monitoring system and the professional management system of care workers should be established. Third, it is necessary to improve awareness of the role, expertise, and rights of care workers, and fourth, improvement measures are required to reduce the turnover rate of care workers, which is the cause of the deterioration of the quality of long-term care services.

Quality Improvement in the Trauma Intensive Care Unit Using a Rounding Checklist: The Implementation Results

  • Chang, Ye Rim;Chang, Sung Wook;Kim, Dong Hun;Yun, Jeongseok;Yun, Jung Ho;Lee, Seok Won;Jo, Han Cheol;Choi, Seok Ho
    • Journal of Trauma and Injury
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    • v.30 no.4
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    • pp.113-119
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    • 2017
  • Purpose: Despite the numerous protocols and evidence-based guidelines that have been published, application of the therapeutics to eligible patients is limited in clinical settings. Therefore, a rounding checklist was developed to reduce errors of omission and the implementation results were evaluated. Methods: A checklist consisting of 12 components (feeding, analgesia, sedation, thromboembolic prophylaxis, head elevation, stress ulcer prevention, glucose control, pressure sore prevention, removal of catheter, endotracheal tube and respiration, delirium monitoring, and infection control) was recorded by assigned nurses and then scored by the staff for traumatized, critically ill patients who were admitted in the trauma intensive care unit (ICU) of Dankook University Hospital for more than 2 days. A total of 170 patients (950 sheets) between April and October 2016 were divided into 3 periods (period 1, April to June; period 2, July to August; and period 3, September to October) for the analysis. Questionnaires regarding the satisfaction of the nurses were conducted twice during this implementation period. Results: Record omission rates decreased across periods 1, 2, and 3 (19.9%, 12.7%, and 4.2%, respectively). The overall clinical application rate of the checklist increased from 90.1% in period 1 to 93.8% in period 3. Among 776 (81.7%) scored sheets, the rates of full compliance were 30.2%, 46.2%, and 45.1% for periods 1, 2, and 3, respectively. The overall mean score of the questionnaire regarding satisfaction also increased from 61.7 to 67.6 points out of 100 points from period 1 to 3. Conclusions: An ICU rounding checklist could be an effective tool for minimizing the omission of preventative measures and evidence-based therapy for traumatized, critically-ill patients without overburdening nurses. The clinical outcomes of the ICU checklist will be evaluated and reported at an early date.

Seed Production and Distribution System Improvement of Medicinal Crop Seeds (약용작물 종자 생산 및 보급체계 개선)

  • Jang, Woo Whan;Park, Jae Sang;Rubenecia, Maria. Rosnah Ultra.;Park, Chung Beom;Ahn, Young Sup;Lee, Sang Chul
    • Current Research on Agriculture and Life Sciences
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    • v.31 no.4
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    • pp.286-294
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    • 2013
  • Increasing concern for the health, well-being, and income of the people has expectedly brought continuous increase in the industrial value of medicinal plants in recent years as these are also used in foods and cosmetics. However, Korea's increased import of these products from China due to the FTA contract causes negative effects on its industrial value. In this regard, various measures for medicinal crop seed development and production, organization and expansion of circulation and forest land use deregulation are needed to promote the agricultural food industry including medicinal plants. As a measure, first, a database of medicinal plants should be built that can help to promote the national medicinal industry and the seed management system. Second, agricultural productivity should be enhanced via the development and supply of varieties of high quality medicinal plants. Third, there should be a good practice of the system maintenance for the production and supply of medicinal crop seeds. Fourth, production and distribution system of medicinal plants should be established by standardization of high quality seeds. Nowadays, the consumption pattern of medicinal crops is changing from direct ingestion to cosmetics, drugs, and food and this is expected to increase continuously. Consequently, the increased production of medicinal crops will support the development policy and the institutional improvement in response to this trend of the positive change of industrialization.

Early Stage Performance of Constructed Wetland System for Nonpoint Source Pollution Control (비점원오염 제어를 위한 인공습지의 초기단계 연구)

  • Kim, Hyung-Chul;Ham, Jong-Hwa;Han, Jung-Yoon;Yoon, Chun-Gyeong
    • Korean Journal of Ecology and Environment
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    • v.39 no.4 s.118
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    • pp.481-488
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    • 2006
  • The field scale experiment was performed to examine the performance of the constructed wetland for nonpoint source (NPS) pollution loading reduction. Four sets (0.88 ha each) of wetland and pond system were used. After three growing seasons of the wetland construction, plant coverage increased to about 90% even without plantation from bare soil surfaces at the initial stage. During the start up period of constructed wetlands, lower water levels should be maintained to avoid flooding newly plants, if wetland plants are to start from germinating seeds. The average removal rate of $BOD_5$, TSS, T-N and T-P during the first two years was 5.6%, 46.6%, 45.7%, and 54.8%, respectively. The $BOD_5$ removal rate was low and it might be attributed to the low influent concentration. The early stage of wetland performance demonstrated the effectiveness of water quality improvement and was satisfactory for treating polluted stream waters. From the first-order analysis, T-P was virtually not temperature dependent, and $BOD_5$ and TSS were more temperature dependent than T-N. A pond-wetland system was more effective than a wetland-pond or a wetland alone system in water quality improvement, particularly to reduce T-P. Overall, the wetland system was found to be an adequate alternative for treating a polluted stream water with stable removal efficiency and recommended as a NPS control measures.

A Study on the Current Status and Improvement Plans for Culinary Education (조리교육 현황과 발전 방안 연구)

  • Lee, Jeong-Ae;Kim, Choong-Ho
    • Culinary science and hospitality research
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    • v.19 no.5
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    • pp.280-295
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    • 2013
  • This study analyzes the differences to examine which education is more effective for practical cooking skills. A survey was conducted on the 4 year university students majoring in culinary arts to examine the recognition levels of culinary practice education for the purpose of searching for an improvement plan for culinary education. The results are as follows. Seniors recognize the importance of learning theory, while the classes offered now are focusing on getting cooking certificates. The students approach cooking not only for eating food but also for the arts, showing increased interests in 'creative food' and 'fusion food.' In class, they feel the necessity of establishing a standard for a fair assessment and English skills for the globalization of food service. Hereupon this study recognizes the current state of culinary education service, draws factors which decide the quality of culinary arts education, and examines student satisfaction with theoretical education, practical education, assessment, and external education by using a factor analysis of twenty quality attributes. Through the development and application of various programs, operation of open practice classes and culinary organization reflecting social changes in learning courses, the culinary arts education is considered to be more vitalized. In this respect, this study introduces four measures which were designed to facilitate the education of highly-skilled human resources in the culinary field.

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A Study on the P~q~t Charts Applicability for Quality Improvement of Water-Sealing&Reinforcement Grouting in Tunneling Work Underneath the City (도심지 지하 터널시공 중 차수·보강 그라우팅 공사의 품질향상을 위한 P~q~t charts 적용성 연구)

  • Kim, Jin-Chun;Kim, Seok-Hyun;Yoo, Byung-Sun;Kang, Hee-Jin
    • Journal of Korean Society of Disaster and Security
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    • v.14 no.3
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    • pp.51-63
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    • 2021
  • This study is for the quality improvement of water-sealing & reinforcement grouting in tunnel of the construction of the underground transportation network underneath the city. Existing tunnel grouting process did not technically utilize P~q~t charts fully. It is due to the absence of technical methods to decide how P~q~t charts change in the presence of trouble and what the change represents in grouting. There were no standards to decide which chart pattern represents which ground characteristics, how to categorize ground types, and how to take measures according to the standards. This paper studies on the grouting type, ground characteristics, ground type categorizing method, and countermeasures for both general and algorithm-processed grouting in soil and rock layer to address the aforementioned problems. Newly improved P~q~t charts from grouting in soil was categorized into six different types. Different characteristics and categorization method was developed for each type. Countermeasures for each type of grouting process were developed so that on-site application can be readily available. Improved P~q~t charts for rock layer also have six different types of grouting. Each type was given the countermeasures for rock layer grouting process for easier applications. Therefore, it is expected to be used through out the entire process of grouting from preparation to the last report of the water-sealing & reinforcement grouting in tunnel of the construction of the underground transportation network underneath the city.