• Title/Summary/Keyword: quality management procedure

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The Impact of Trauma Center Establishment on Laparotomy Patterns and Outcomes in Severe Hemoperitoneum Patients

  • Lee, Min A;Lee, Jungnam;Chung, Min;Lee, Giljae;Park, Jaejeong;Choi, Kangkook;Yoo, Byung Chul
    • Journal of Trauma and Injury
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    • v.30 no.1
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    • pp.6-11
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    • 2017
  • Purpose: The establishment of the trauma system has changed the quality of trauma care in many countries. As one of the first designated level I trauma centers in Korea, we hypothesized that there were changes in laparotomy patterns and subsequent survival rates after the center was established. Methods: This was a 5-year retrospective study of all severe hemoperitoneum patients who were transfused with more than 10 units of packed red blood cells (RBCs) within 24 h of hospitalization. Variables related to trauma were collected throughout the study period, and the patients admitted before (period 1) and after (period 2) the establishment of a trauma center were compared. Results: Forty-five patients were managed from January 2009 to March 2015. The baseline patient characteristics of the two groups, including age, Injury Severity Score, blood pressure, and hemoglobin levels, were similar. The time to the operating room (OR) was $144.3{\pm}51.5$ min (period 1) and $79.9{\pm}44.1$ min (period 2) (p<0.0001). Damage control surgery (DCS) was performed in 17% of patients during period 1 and in 73% during period 2. The number of actual survivors (n=10) was higher than expected (n=8) in period 2. Conclusion: This is the first study analyzing the impact of a trauma center on the management of specific injuries, such as severe hemoperitoneum, in patients in Korea. During the study, the time to OR was shortened and DCS was used to a greater extent as a surgical procedure.

Standard based Deposit Guideline for Distribution of Human Biological Materials in Cancer Patients

  • Seo, Hwa Jeong;Kim, Hye Hyeon;Im, Jeong Soo;Kim, Ju Han
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.14
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    • pp.5545-5550
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    • 2014
  • Background: Human biological materials from cancer patients are linked directly with public health issues in medical science research as foundational resources so securing "human biological material" is truly important in bio-industry. However, because South Korea's national R and D project lacks a proper managing system for establishing a national standard for the outputs of certain processes, high-value added human biological material produced by the national R and D project could be lost or neglected. As a result, it is necessary to develop a managing process, which can be started by establishing operating guidelines to handle the output of human biological materials. Materials and Methods: The current law and regulations related to submitting research outcome resources was reviewed, and the process of data 'acquisition' and data 'distribution' from the point of view of big data and health 2.0 was examined in order to arrive at a method for switching paradigms to better utilize human biological materials. Results: For the deposit of biological research resources, the original process was modified and a standard process with relative forms was developed. With deposit forms, research information, researchers, and deposit type are submitted. The checklist's 26 items are provided for publishing. This is a checklist of items that should be addressed in deposit reports. Lastly, XML-based deposit procedure forms were designed and developed to collect data in a structured form, to help researchers distribute their data in an electronic way. Conclusions: Through guidelines included with the plan for profit sharing between depositor and user it is possible to manage the material effectively and safely, so high-quality human biological material can be supplied and utilized by researchers from universities, industry and institutes. Furthermore, this will improve national competitiveness by leading to development in the national bio-science industry.

Fast Group Scanning Scheme in IEEE 802.16e Networks (IEEE 802.16e에서 그룹 기반의 빠른 스캐닝 기법)

  • Choi, Jae-Kark;Yoo, Sang-Jo
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.33 no.6A
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    • pp.624-634
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    • 2008
  • The mobile station which is about to do handover in IEEE 802.16e networks scans its neighboring base station channels to decide its next target base station. However, due to the lack of location information of its subscribers, the serving base station cannot provide any reliable candidate channel which is actually attachable by the scanning mobile stations, which makes the mobile station suffer from the long scanning time. Sometimes, long scanning time may cause the degradation of quality of service due to repeatable scan-duration or failure to start the handover procedure in time. To overcome these problems, in this paper, we propose a new protocol so called fast group scanning scheme, in which multiple mobile stations form a group to scan their neighboring base station channels simultaneously. Main contribution of this proposal is to find and decide a reliable target base station within a short scanning time. The fast group scanning scheme can be deployed to the cell network of the serving base station with a dynamic neighboring base station list management.

A Study on the Applying Improvement Method of Guide for efficient depot level maintenance (효율적인 창정비요소개발을 위한 지침 개선적용 연구)

  • Jeong, Inn-Sung;Kim, Hyeong-Do
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.12
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    • pp.789-796
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    • 2019
  • If the development of Integrated Logistics Support (ILS) for maintenance of the end step is conducted systematically and efficiently, the weapon system lifecycle can be postponed and the availability can be improved. DEFense CONdition (DEFCON) is maintained as perfect. Nevertheless, like its importance, the guide for maintaining the depot performance is applied differently for each weapon system. The errors that can result cause additional cost, etc. ILS development at depot level maintenance is different from full scale development. Therefore, this study distinguishes the management and deployment section for the development concept. An additional way to perform an efficient development of depot maintenance element when determining the depot maintenance period were presented. This study examined how the Reliability, Availability, Maintainability (RAM), Logistics Support Analysis (LSA), and ILS 11 elements intersect at the depot maintenance sources. An analytical study of concrete adoptable plans was performed. The systematic adoption of a development procedure can make it possible to calculate the adoptable development cost. In addition, it can be helpful for improving the quality level and practical use of work products.

Development of Assessment Evaluation Check Sheet to Identify Problems in SME Field and to Develop Creative Improvement Plan (중소기업 현장 문제점 발굴과 개선방안을 모색을 위한 평가진단 체크시트 개발)

  • Lee, Deok Soo;Park, Roh Gook
    • Journal of Korea Society of Industrial Information Systems
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    • v.22 no.6
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    • pp.95-105
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    • 2017
  • The Purpose of This Study is to Develop a Checklist Model of Evaluation Diagnosis to Increase the Competitiveness of SMEs in Local Governments. The Evaluation Diagnostic Check Sheet Development Procedure Proceeded in the Order of Preliminary Investigation (Major Company Survey, Analysis of Characteristics of the Industry, Selection of Core Functions, etc.), Research and Development (Development of Core Function Check Sheet, Development of Core Function Improvement Tools). The Evaluation Model is divided into Five Categories (Vision and Strategy System, Quality Assurance and Product Safety, Field Management Level, Statistical Process Control, Improvement Activities), and 1) Recognition, 2) System, 3) Operation, 4) Review and Supplement. This Evaluation Model is expected to Contribute to the Selection of the Mainstream SMEs among the Companies Scattered within the Local Autonomous Entities, thereby Enhancing the Competitiveness of SMEs.

Propose and Performance Analysis of Turbo Coded New T-DMB System (터보부호화된 새로운 T-DMB 시스템 제안 및 성능 분석)

  • Kim, Hanjong
    • Journal of Digital Convergence
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    • v.12 no.3
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    • pp.269-275
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    • 2014
  • The DAB system was designed to provide CD quality audio and data services for fixed, portable and mobile applications with the required BER below $10^{-4}$. However for the T-DMB system with the video service of MPEG-4 stream, BER should go down $10^{-8}$ by adding FEC blocks which consist of the Reed-Solomon (RS) encoder/decoder and convolutional interleaver/deinterleaver. In this paper we propose two types of turbo coded T-DMB system without altering the puncturing procedure and puncturing vectors defined in the standard T-DMB system for compatibility. One(Type 1) can replace the existing RS code, convolutional interleaver and RCPC code by a turbo code and the other one (Type 2) can substitute the existing RCPC code by a turbo code. Simulation results show that two new turbo coded systems are able to yield considerable performance gain after just 2 iterations. Type 2 system is better than type 1 but the amount of performance improvement is small.

A Case Note on the Medical Negligence of Traditional Chinese Herbal Medicine in the UK

  • Lee, Hai Woong
    • Journal of Society of Preventive Korean Medicine
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    • v.18 no.3
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    • pp.105-115
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    • 2014
  • Objective : Traditional medicine (TM) has been playing its role in national healthcare system and it is taken as complementary and alternative medicine (CAM) from the viewpoint of modern Western medicine. In the UK, not a few practitioners of Traditional Chinese Medicine (TCM) are working as CAM practitioners using herbal medicine and acupuncture therapy. Cases of dispute in the TCM practice are not rare these days because patients who take TCM service are increasing by year. Method : In the UK, dispute cases of the Traditional Medicine of East Asia can be found these days, however, it is hard to find a reported court case. A medical dispute case of TCM will be analysed to see the legal management and the resolving principle in the alternative medicine practice with some cases of Korean Medicine (KM) being discussed. Results : The usual pattern of clinical negligence can be discussed from the points of a duty of care, breach of that duty by negligence, and the harm to the patient from that breach of duty. The judge followed this procedure In this case to discuss the claims. The department of health proposed to introduce regulation to provide the reasonable quality in TCM practice, and the governmental system would be essential to regulate both the TCM practice and practitioners. Conclusion : The dispute case of traditional Chinese herbal medicine (TCHM) practice is important for the clinical negligence in TCHM practice. Judging the negligence of a TCHM practitioner involves the conventional negligence principle in tort law, and the TCHM practitioners are required to keep up with the up-to-date information on the related medical specialty. The reasoning is almost the same as that shown in the court case of Korea. The TCHM practice in the UK needs to be under the regulation by the government. The standard of care we expect of a TCHM practitioner is a further matter to discuss from the healthcare and social viewpoints.

Casting Layout Design Using Flow & Solidification Analysis-Automotive Part(Oil Pan_BJ3E) (유동 및 응고해석을 이용한 주조방안설계-자동차용 부품(오일팬_BJ3E))

  • Kwon, Hong-Kyu
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.42 no.1
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    • pp.1-7
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    • 2019
  • In the modern industrial period, the introduction of mass production was most important progress in civilization. Die-casting process is one of main methods for mass production in the modern industry. The aluminum die-casting in the mold filling process is very complicated where flow momentum is the high velocity of the liquid metal. Actually, it is almost impossible in complex parts exactly to figure the mold filling performance out with the experimental knowledge. The aluminum die-castings are important processes in the automotive industry to produce the lightweight automobile bodies. Due to this condition, the simulation is going to be more critical role in the design procedure. Simulation can give the best solution of a casting system and also enhance the casting quality. The cost and time savings of the casting layout design are the most advantage of Computer Aided Engineering (CAE). Generally, the relations of casting conditions such as injection system, gate system, and cooling system should be considered when designing the casting layout. Due to the various relative matters of the above conditions, product defects such as defect extent and location are significantly difference. In this research by using the simulation software (AnyCasting), CAE simulation was conducted with three layout designs to find out the best alternative for the casting layout design of an automotive Oil Pan_BJ3E. In order to apply the simulation results into the production die-casting mold, they were analyzed and compared carefully. Internal porosities which are caused by air entrapments during the filling process were predicted and also the results of three models were compared with the modifications of the gate system and overflows. Internal porosities which are occurred during the solidification process are predicted with the solidification analysis. And also the results of the modified gate system are compared.

A study on the integrative feedback modeling to develop pre-service teachers' competence of planning STEAM lessons (예비교사의 융합적 수업구성 역량 향상을 위한 통합적 피드백의 모델링)

  • Hong, Ye-Yoon;Im, Yeon-Wook
    • Journal of Digital Convergence
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    • v.19 no.8
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    • pp.75-88
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    • 2021
  • Along with the advent of the Fourth Industrial Revolution, fostering young talents with convergent mind is getting important. Moreover pre-service teachers' ability to design proper convergent classes can be a meaningful issue for high quality future education. This study proposes the role of professors' exquisite feedback is so significant for developing their competence in STEAM education, It analyzed how various theories regarding feedback support them to enhance convergent knowledge with e-learning. They participated in the 5 step group and individual activities for creating STEAM lesson plan and received suitable feedback. Lastly a survey was performed. The researchers did modeling how integrative feedback was applied to the procedure step by step according to the 'Ladder of Inference' theory. This strategic model contributed to elevating the participants' convergent knowledge, competence, achievement and satisfaction.

An Algorithm Study to Detect Mass Flow Controller Error in Plasma Deposition Equipment Using Artificial Immune System (인공면역체계를 이용한 플라즈마 증착 장비의 유량조절기 오류 검출 실험 연구)

  • You, Young Min;Jeong, Ji Yoon;Ch, Na Hyeon;Park, So Eun;Hong, Sang Jeen
    • Journal of the Semiconductor & Display Technology
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    • v.20 no.4
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    • pp.161-166
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    • 2021
  • Errors in the semiconductor process are generated by a change in the state of the equipment, and errors usually arise when the state of the equipment changes or when parts that make up the equipment have flaws. In this investigation, we anticipated that aging of the mass flow controller in the plasma enhanced chemical vapor deposition SiO2 thin film deposition method caused a minute flow rate shift. In seven cases, fourier transformation infrared film quality analysis of the deposited thin film was used to characterize normal and pathological processes. The plasma condition was monitored using optical emission spectrometry data as the flow rate changed during the procedure. Preprocessing was used to apply the collected OES data to the artificial immune system algorithm, which was then used to process diagnosis. Through comparisons between datasets, the learning algorithm compared classification accuracy and improved the method. It has been confirmed that data characterized as a normal process and abnormal processes with differing flow rates may be discriminated by themselves using the artificial immune system data mining method.