• 제목/요약/키워드: Average Quality

검색결과 5,603건 처리시간 0.031초

한국형 노인요양시설 질 관찰평가도구의 타당도와 신뢰도 분석 (Validity and Reliability of the Korean Version of the Observable Indicators of Nursing Home Care Quality Evaluation Instrument)

  • 이지아
    • 대한간호학회지
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    • 제38권3호
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    • pp.474-482
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    • 2008
  • Purpose: The purposes of this study were; 1) to test the validity and reliability of the Korean version of Rantz's Observable Indicators of Nursing Home Care Quality Instrument (ONHQ) and 2) to evaluate the quality of Korean nursing homes. Methods: The study employed a three-phase methodological research design. 1) The original instrument of Rantz's. ONHQ was translated into Korean and modified by Korean nursing home experts. 2) A pilot study using the modified instrument was done in 20 nursing homes to examine inter-rater reliability. 3) The validity and reliability were tested.in 98 nursing homes. Results: Seven factors were extracted through factor analysis: 'communication', 'care delivery', 'grooming', 'odor, 'environment-basics', 'environment-access', and 'environment-homelike'. These factors explained 86.07% of the total variance. Cronbach's alpha coefficient of the 30 items was .97 indicating a high internal consistency of the instrument. Inter-rater reliability according to Kappa was .82. The average score of nursing home quality was 112.07 indicating an average range of quality level. Conclusion: The Korean version of the ONHQ was identified as a tool with a high degree of validity and reliability. This tool can be effectively used to assess the quality of nursing homes by professions as well as family members.

Quality indicators in colonoscopy: the chasm between ideal and reality

  • Su Bee Park;Jae Myung Cha
    • Clinical Endoscopy
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    • 제55권3호
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    • pp.332-338
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    • 2022
  • Continuous measurement of quality indicators (QIs) should be a routine part of colonoscopy, as a wide variation still exists in the performance and quality levels of colonoscopy in Korea. Among the many QIs of colonoscopy, the adenoma detection rate, average withdrawal time, bowel preparation adequacy, and cecal intubation rate should be monitored in daily clinical practice to improve the quality of the procedure. The adenoma detection rate is the best indicator of the quality of colonoscopy; however, it has many limitations for universal use in daily practice. With the development of natural language processing, the adenoma detection rate is expected to become more effective and useful. It is important that colonoscopists do not strictly and mechanically maintain an average withdrawal time of 6 minutes but instead perform careful colonoscopy to maximally expose the colonic mucosa with a withdrawal time of at least 6 minutes. To achieve adequate bowel preparation, documentation of bowel preparation with the Boston Bowel Preparation Scale (BBPS) should be a routine part of colonoscopy. When colonoscopists routinely followed the bowel preparation protocols, ≥85% of outpatient screening colonoscopies had a BBPS score of ≥6. In addition, the cecal intubation rate should be ≥95% of all screening colonoscopies. The first step in improving colonoscopy quality in Korea is to apply these key performance measurements in clinical practice.

HTTP 적응적 스트리밍 서비스의 QoE 향상을 위한 비디오 품질 유지 기법 (Video Quality Maintenance Scheme for Improve QoE of HTTP Adaptive Streaming Service)

  • 김윤호;김희광;정광수
    • 정보과학회 논문지
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    • 제45권2호
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    • pp.187-194
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    • 2018
  • 최근 HTTP 적응적 스트리밍(HTTP adaptive streaming) 서비스가 주목을 받고 있다. 기존 HTTP 적응적 스트리밍 서비스의 비디오 품질 조절 기법은 네트워크의 대역폭이나 클라이언트의 버퍼량에 따라 비디오 품질을 조절한다. 그러나 기존 품질 조절 기법은 빈번한 대역폭 변화나 고정된 버퍼 임계로 인해 불필요한 품질 변경이 발생하여 QoE(Quality of Experience)가 저하되는 문제가 있다. 본 논문에서는 변화하는 네트워크 환경에서 HTTP 적응적 스트리밍 서비스의 QoE 향상을 위해 평균 비디오 품질을 높이면서 불필요한 품질 변경을 최소화하는 비디오 품질 유지 기법을 제안한다. 제안하는 기법은 버퍼 점유율과 비디오 품질이 높을 경우 품질 유지 기간을 길게 설정하여 높은 품질을 오래 유지한다. 실험을 통해 제안하는 기법이 평균 비디오 품질을 향상시키고 품질 변경을 최소화하여 QoE를 향상시키는 것을 확인하였다.

대기오염집중측정소별 2013~2015년 사이의 PM2.5 화학적 특성 차이 및 유발인자 조사 (Difference in Chemical Composition of PM2.5 and Investigation of its Causing Factors between 2013 and 2015 in Air Pollution Intensive Monitoring Stations)

  • 유근혜;박승식;김영성;신혜정;임철수;반수진;유정아;강현정;서영교;강경식;조미라;정선아;이민희;황태경;강병철;김효선
    • 한국대기환경학회지
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    • 제34권1호
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    • pp.16-37
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    • 2018
  • In this study, difference in chemical composition of $PM_{2.5}$ observed between the year 2013 and 2015 at six air quality intensive monitoring stations (Bangryenogdo (BR), Seoul (SL), Daejeon (DJ), Gwangju (GJ), Ulsan (US), and Jeju (JJ)) was investigated and the possible factors causing their difference were also discussed. $PM_{2.5}$, organic and elemental carbon (OC and EC), and water-soluble ionic species concentrations were observed on a hourly basis in the six stations. The difference in chemical composition by regions was examined based on emissions of gaseous criteria pollutants (CO, $SO_2$, and $NO_2$), meteorological parameters (wind speed, temperature, and relative humidity), and origins and transport pathways of air masses. For the years 2013 and 2014, annual average $PM_{2.5}$ was in the order of SL ($${\sim_=}DJ$$)>GJ>BR>US>JJ, but the highest concentration in 2015 was found at DJ, following by GJ ($${\sim_=}SJ$$)>BR>US>JJ. Similar patterns were found in $SO{_4}^{2-}$, $NO_3{^-}$, and $NH_4{^+}$. Lower $PM_{2.5}$ at SL than at DJ and GJ was resulted from low concentrations of secondary ionic species. Annual average concentrations of OC and EC by regions had no big difference among the years, but their patterns were distinct from the $PM_{2.5}$, $SO{_4}^{2-}$, $NO_3{^-}$, and $NH_4{^+}$ concentrations by regions. 4-day air mass backward trajectory calculations indicated that in the event of daily average $PM_{2.5}$ exceeding the monthly average values, >70% of the air masses reaching the all stations were coming from northeastern Chinese polluted regions, indicating the long-range transportation (LTP) was an important contributor to $PM_{2.5}$ and its chemical composition at the stations. Lower concentrations of secondary ionic species and $PM_{2.5}$ at SL in 2015 than those at DJ and GJ sites were due to the decrease in impact by LTP from polluted Chinese regions, rather than the difference in local emissions of criteria gas pollutants ($SO_2$, $NO_2$, and $NH_3$) among the SL, DJ, and GJ sites. The difference in annual average $SO{_4}^{2-}$ by regions was resulted from combination of the difference in local $SO_2$ emissions and chemical conversion of $SO_2$ to $SO{_4}^{2-}$, and LTP from China. However, the $SO{_4}^{2-}$ at the sites were more influenced by LTP than the formation by chemical transformation of locally emitted $SO_2$. The $NO_3{^-}$ increase was closely associated with the increase in local emissions of nitrogen oxides at four urban sites except for the BR and JJ, as well as the LTP with a small contribution. Among the meterological parameters (wind speed, temperature, and relative humidity), the ambient temperature was most important factor to control the variation of $PM_{2.5}$ and its major chemical components concentrations. In other words, as the average temperature increases, the $PM_{2.5}$, OC, EC, and $NO_3{^-}$ concentrations showed a decreasing tendency, especially with a prominent feature in $NO_3{^-}$. Results from a case study that examined the $PM_{2.5}$ and its major chemical data observed between February 19 and March 2, 2014 at the all stations suggest that ambient $SO{_4}^{2-}$ and $NO_3{^-}$ concentrations are not necessarily proportional to the concentrations of their precursor emissions because the rates at which they form and their gas/particle partitioning may be controlled by factors (e.g., long range transportation) other than the concentration of the precursor gases.

청력 장애 노인들의 고독감, 자아 존중감 및 삶의 질과의 관계연구 (A Study on the Relationship of the Loneliness, Self-esteem, and Quality of Life on the Hearing Disturbance Aged)

  • 이현정;석소현;김귀분
    • 동서간호학연구지
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    • 제9권1호
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    • pp.35-45
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    • 2004
  • This study as a cross survey study was conducted to provide basic data for more practical approach to nursing the aged, by analyzing the relationship of the loneliness, self-esteem and quality of life on the hearing disturbance aged. This study was based on the survey data from the 90 aged, who are over sity years old and resident in Seoul. In order to measure the general characteristics and subjective audition, Cantril's Ladder Scale Tool was used. For the loneliness, UCLA Loneliness Scale Tool (translated into Korean to suit the Korean environment by Kim's). In order to measure the self-esteem, Rosenberg's Self-esteem Measurement Tool (translated into Korean by Chun) was used. No's Quality of Life Measurement Tool was used to the measure the quality of life. The Data were collected by direct interviewing on the subjects for this study from August 10, 1999 to September 15, 1999. In accordance with each purpose of this study, appropriate analyzing methods such as Descriptive Statistics, T-test, and ANOVA were used in analyzing the collected data. Pearson correlation coefficient was used to test the relationship of the loneliness, self-esteem and quality of life on the hearing disturbance aged. The result of this study is as follows: 1) The average of the degrees of subjective audition was 7.22, The factors that cause the result were sex, religion, the perception of health, the married state. 2) The average of the degrees of loneliness was 55.18, The factor that cause the result was the perception of health. 3) The average of the degrees of self-esteem was 28.42, The factors that cause the result were the number of family, the number of children, the perception of health. 4) The average of the degrees of quality of life was 71.87 the factors that cause the result were age, education, the number of children, the perception of health. 5) Correlation of Loneliness, self-esteem and quality of life is the perception of loneliness showed significant negative correlation with self-esteem (r=-.466, p=.0001) and quality of life (r=-.450, p=.0001). As a result of analysis above: Because of the recognition change of the aged, it seems to them that the subjective audition scale on the hearing disturbance aged is measured by only 10-point ladder scale is inappropriate. Therefore, it is necessary that the physiologic-index can confirm more exactly should be applied to them. It is very important that the social-psychological factor that has influence on the aged should be the self-perception of health. Thus, proper development of nursing intervention should be required to process in the self-perception of health on the aged.

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Variable sampling interval control charts for variance-covariance matrix

  • Chang, Duk-Joon;Shin, Jae-Kyoung
    • Journal of the Korean Data and Information Science Society
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    • 제20권4호
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    • pp.741-747
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    • 2009
  • Properties of multivariate Shewhart and EWMA (Exponentially Weighted Moving Average) control charts for monitoring variance-covariance matrix of quality variables are investigated. Performances of the proposed charts are evaluated for matched fixed sampling interval (FSI) and variable sampling interval (VSI) charts in terms of average time to signal (ATS) and average number of samples to signal (ANSS). Average number of swiches (ANSW) of the proposed VSI charts are also investigated.

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Modified Multi-Level Skip-Lot Sampling Plans

  • Cho, Gyo-Young;Choi, Eun-Jung
    • Journal of the Korean Data and Information Science Society
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    • 제14권4호
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    • pp.915-927
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    • 2003
  • This paper is the generalization of the modified two-level skip-lot sampling plan(MTSkSP1) to n-level. The general formulas of the operating characteristic(OC) function, average sample number(ASN) and average outgoing quality(AOQ) for the plan are derived using Markov chain properties. The operating characteristic curves, average sample numbers and average outgoing qualities of a reference plan, modified two-level, three-level and five-level skip-lot sampling plans are compared.

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Kano 모형과 고객만족계수를 이용한 uTradeHub 서비스 품질에 관한 연구 (An empirical study on the service quality of uTradeHub though Kano model and customer satisfaction coefficient)

  • 송선옥
    • 통상정보연구
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    • 제18권4호
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    • pp.55-78
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    • 2016
  • uTradeHub 관련 선행연구들은 서비스 품질의 중요성을 일원론적 시각에서 파악했을 뿐 어떠한 서비스 품질속성을 우선적으로 향상시켜야 할지에 대한 연구는 부재한 상황이다. 본 연구에서는 Kano 모형에 의거 uTradeHub의 서비스 품질속성을 분류하고, Timko의 고객만족계수(CSC)와 평균만족계수(ASC)를 사용하여 uTradeHub 서비스 품질 제고를 위해 중점적으로 관리해야 하는 품질속성을 규명하였다. 설문조사를 통해 확보된 총105개의 유효자료를 실증분석에 사용하였으며, 연구결과를 요약하면 다음과 같다. 첫째, Kano모형에 의거 서비스 품질속성을 분류한 결과, 일원적 품질 12개, 당연적 품질 5개, 무관심 품질 2개가 도출되었다. 둘째, Timko의 고객만족계수(CSC)를 이용한 분석결과에서는 "고충 및 불만에 대한 사후처리"와 "비용절감", "업무처리의 효율성", "정확하고 유용한 정보 제공"이 만족계수(SC)의 상위에 랭크됨으로써 서비스 품질이 충족되면 고객만족이 특히 증가하는 품질속성으로 파악되었다. 반편 "고충 및 불만에 대한 사후관리", "상호작용", "문제발생시 즉각적 대응능력", "정확하고 유용한 정보제공", "업무처리의 효율성" 등은 불만족계수(DC)의 상위에 랭크됨으로써 서비스 품질이 충족되지 않으면 고객 불만이 특히 증가하는 품질속성으로 분석되었다. 셋째, 평균만족계수(ASC)에 의거 uTradeHub 서비스 품질 제고를 위해 중점 관리해야 하는 품질속성을 분석한 결과에서는 "고충 및 불만에 대한 사후관리", "비용절감", "정확하고 유용한 정보 제공", "업무처리의 효율성", "업무성과" 등이 상위 5위에 랭크됨으로써 지금보다 개선되면 만족도가 더 크게 증가하지만 악화되면 만족도가 훨씬 더 감소하는 품질속성으로 분류되었다.

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상수도 관망 내 바이러스 유입 대응을 위한 재염소 시설 설계 (Re-chlorination facility design to cope with virus intrusion in water distribution system)

  • 김범진;이승엽
    • 한국수자원학회논문집
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    • 제57권4호
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    • pp.277-287
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    • 2024
  • 상수도 관망은 운영 중 다양한 수질 사고 발생 위험요소에 노출되어 있다. 본 연구는 다양한 수질 사고 위험요소 중 상수도 관망 내로의 바이러스 유입에 따른 위험도 평가 방법론을 제시하고, 이를 활용하여 위험도를 최소화할 수 있는 재염소 시설의 위치와 운영에 대한 검토를 수행하였다. 위험도 평가를 위해 QMRA (Quantitative Microbial Risk assessment)를 적용하였으며, 염소 농도에 따른 Water Quality Resilience를 정의하여 바이러스가 유입되지 않은 정상 운영 상황과 바이러스가 유입된 비정상 상황에서 염소 농도가 목표 범위(0.1-1.0 mg/L)내 운영되는지 여부를 정량적으로 확인하였다. 본 연구에서는 바이러스와 염소간의 반응을 고려해야 하기에, 다양한 수질인자를 고려할 수 있는 EPANET-MSX를 활용하여 수리 및 수질 분석을 수행하였다. 제안한 방법론은 미국의 Bellingham의 관망에 적용하였으며, 재염소 시설의 경우 0.5 mg/L부터 1.0 mg/L까지 주입 가능한 것으로 하였다. 적용 결과 재염소 시설이 없는 경우 Average risk가 0.0154이었으며, 재염소 시설 설치 후 1.0 mg/L의 농도로 주입 시 39.1%의 Average risk를 저감할 수 있었다. 다만, 재염소 시설을 통한 과도한 염소 주입은 Water Quality Resilience를 저감하여, 최종적으로 0.5 mg/L의 재염소 시설을 선정하였으며, 이를 활용하여 20% 가량의 Average risk 저감이 가능함을 확인하였다. 본 연구는 향후 잠재적 바이러스 유입에 대비한 재염소 시설의 설계에 활용할 수 있을 것이다.