• Quality Improvement in Health Care
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• v.9 no.2
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• pp.176-197
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• 2002

Backgound : This study is to suggest the standardized format of the clinical sheets and the standardized items of every clinical sheet. The standardization of the medical records will increase the faithfullnes of the contents in them and it will contribute to construct the good health information system. Method : From Jan. 1st. 2001 to March 31st 2001, we gathered as many paper clinical sheets as possible by every class of institutions to review the faithfulness of the clinical contents in them. Clinical sheets of 9 tertiary care hospitals, 6 general hospitals and 56 clinics were gathered. Two experienced medical record administrators reviewed them. The review focus was to check whether the items recommend by the hospital standardization review criteria and hospital service evaluation organization were appeared in the clinical sheets and whether the contents of every item were written. Results : Tertiary care hospitals; In case of administrative data, the contents were filled well if the items were fixed. The clinical data like C.C, history,physical examiniation were filled well, but if the items were not fixed, some items were omitted. The result is that more items are to be filled if they are fixed. General hospitals Administrative data were filled more than 50%. Final diagnosis was filled about 66.7%.But other clinical data were not filled well and not many clinical related items were appeared in the sheets.In the legal point of view, the reason for visiting hosptals or the right diagnosis, patient condition at discharge could not be confirmed well.In surgery cases, surgical procedures could not be confirmed well as many surgical related information(surgery time, fluids and blood, number of sponges, biopsy, etc) were omitted. Clinics More than 70% administrative data were filled and fixed as items. Among the clinical related data, laboratory result was the most credible data. But without the right diagnosis, drug orders were given and doctors' written signatures were not appeared over 96.4%. So the clinical sheets cannot be used as a legal document. Conculusion : There was a tendency that the contents were filled well if the items were fixed in the documents, We also suggest a clinical check list to review the completeness and faithfulness of the clinical sheets. If many hospitals use the suggested clincal check list and if they make the necessary items fixed in the clinical sheets, the quality of the medical record will increase dramatically.

• Women's Health Nursing
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• v.11 no.4
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• pp.316-323
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• 2005

Purpose: The purpose of this study was to explore the relationships among women's total symptom distress, uncertainty and quality of life in women with endometriosis. Method: A total of 121 women who had been diagnosed with endometriosis was given a questionnaire. Data was collected from August 2004 to January 2005. The data was analyzed by frequency, mean, t-test, ANOVA, Pearson correlation coefficient, and multiple linear regression analysis using SPSS WIN 10.0 software. Result: The mean score of TSD was 3.23. 'Menstrual cramping' showed the highest score. The mean score of uncertainty, and quality of life of the subject was 56.6, and 38.3 respectively. TSD was significantly related with coffee intake and uncertainty was significantly related with marital status, economic status, alcohol intake, diagnosis after period, and family history. Quality of life was significantly related with age, and dysmenorrhea. There were significant relationships between total symptom distress and uncertainty, and quality of life. There were significant relationship between uncertainty and quality of life. Conclusion: Endometriosis symptoms showed a significant relationship with uncertainty and quality of life. This study will help to manage women with endometriosis.

• Quality Improvement in Health Care
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• v.9 no.1
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• pp.52-64
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• 2002

Background : Coding of principal diagnosis is essential component for producing reliable health statistics. We performed this study to evaluate the current practice of principal diagnoses determination and coding, and to give some basic data to improve coding of principal diagnosis. Method : Nineteen medical record administrators (MRAs) of 3 university hospitals participated in coding principal Dx. from August 1, 2001 to August 31, 2001. From each hospital, 10 medical records of patients with high frequency disease were selected randomly. Each 10 medical records were grouped into three (A. B, C). Then, these 30 medical records were given to each MRAs for coding. At the same time questionnaire was given to each of them. Questions were to prove how they decide and code the principal diagnosis among many current diagnoses; how they decide and code the principal diagnosis when they see irrelevant diagnosis recorded as the principal diagnosis in medical record, when only tentative diagnoses were recorded without final diagnosis, and when different diagnoses were recorded in different sheets of same record. Agreement of coding among 3 hospitals were compared and survey results were analysed with SAS 6.12. Results : Agreement of coding was found in medical records 5-6 of each 10 medical records. Causes of disagreement were as follows. Difference of clinician's opinion from each hospital; mixed use of guideline from KCD-3 and guideline from DRG; difference in 4th digit classification according to the absence of pathology report in the medical record; difference of abbreviations among hospitals. 57.9% of MRAs selected the principal diagnosis recorded by physician, 42.1% of MRAs decided principal diagnosis after consulting to KCD-3 guideline. When there were difficulties in determining the principal diagnosis, 42.1% of MRAs decided principal diagnosis after discussion with the physician, 26.3% after discussion with fellow MRAs. Conclusion : There were differences in codings among hospitals. To minimize the difference, we suggest the development of disease-specific guidelines for coding in addition to the current general guideline such as KCD-3. To do this, Coding Clinic which can produce guidelines is needed.

• Korean Journal of Digital Imaging in Medicine
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• v.12 no.2
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• pp.139-143
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• 2010

Two-dimensional(2D) images like Multi Planar Reconstruction(MPR) Image or Maximum Intensity Projection(MIP) were used for the purpose of diagnosis, but MPR image's quality were limited due to its superior limit of Z-axis ability to produce permitted radiation exposure virtuous in the permitted time limit from the existing Spiral CT. However, in company with the development of the Multi Detector Computed Tomography(MDCT), we were able to get the Data with the equal amount of Voxel, also get varied reconstructions as in the aspect of our needs. This present study propose a reconstruction technique which is to extract a field using Region of interest(ROI) segmentation method for improvement of the quality of the medical image and after that reconstruct the concerned part using the four-directed symmetry method of the oval, than using the reconstructed data, reorganize the image by using the Curved MPR method. If current proposed method is used, it is highly effective because of its ability to accurately display the disease concerned part, which will reduce the decoding time and also effectively provide information based on the accuracy of the decode.

• Journal of Korean Society on Water Environment
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• v.39 no.1
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• pp.87-101
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• 2023

The constituents of a watershed control a wide range of ecosystem processes, such as, carbon sequestration, nutrient retention, and biodiversity preservation. Maintenance of a healthy watershed is advantageous to humans in many direct and indirect ways. Dissolved organic matter fluorescence analysis is one of the most commonly utilized parameters for water quality measurement, pollution source tracking, and determination of the ecological state of a watershed. Throughout the recent decades, the advancement in data processing, instrumentation, and methods has resulted in many improvements in the area of watershed study with fluorescence analysis. The current trend of coupling advanced instrumentations and new comparative parameters, such as, microplastics of different types, antibiotics, and specific bacterial contaminants have been reported in watershed studies. However, conventional methodologies for obtaining fluorescence excitation emission matrices and for calculating the fluorescence and spectral indices are preferred to advanced methods, due to their easiness and simple data collection. This review aims to gain a general understanding of the use of dissolved organic matter fluorescence analysis for diagnosis and source identification of watershed pollutions, by focusing on how the studies have utilized fluorescence analysis to improve existing knowledge and techniques in recent years.

• Journal of Korean Clinical Nursing Research
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• v.23 no.3
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• pp.332-340
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• 2017

Purpose: This study was to identify the quality of life and its related factors in patients with benign prostatic hyperplasia. Methods: A cross-sectional survey design was utilized. Data were collected using questionnaires from 128 patients with benign prostatic hyperplasia who visited an outpatient department at one general hospital in 2016. Data were analyzed using Mann-Whitney U test, Kruskal Wallis test, Pearson's correlation coefficient and hierarchical multiple regression analysis. Results: Mean age of the participant was $67.81{\pm}6.94$. Mean years since diagnosis was $6.41{\pm}5.20$. The mean score of quality of life was $0.82{\pm}0.09$, indicating that QOL was relatively low. Lower urinary tract symptoms (p=.029), anxiety, depression, Activities of daily living were significantly correlated to with quality of life (p<.001). Activities of daily living accounted for 54% (p<.001) of the variance in quality of life as a result of hierarchical multiple regression analysis. Conclusion: The results of the study showed that nursing intervention may improve the quality of life of patients with benign prostatic hyperplasia by increasing their Activities of daily living.

• Journal of Mechanical Science and Technology
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• v.20 no.9
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• pp.1410-1417
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• 2006

The metal processing system usually consists of various components such like motors, work rolls, backup rolls, idle rolls, sensors, etc. Even a simple fault in a single component in the system may cause a serious damage on the final product. It is therefore necessary to diagnose the faults of the components to detect and prevent system failure. Especially, the defects in a work roll are critical to the quality of strip. It is especially difficult to detect faults of a roll by using the existing frequency analysis method if the speed of the roll is changing. In this study, a new diagnosis method for roll eccentricity under the roll speed changes was developed. The new method was induced from analyzing the rolling mechanism by using rolling force models, radius-speed relationship, and measured rolling force, etc. Simulation results by using the field data show that the proposed method is very useful.

• Journal of KSNVE
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• v.10 no.2
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• pp.331-337
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• 2000

The necessity of diagnosis of the rotating machinery which is widely used in the industry is increasing. Many research has been conducted to manipulate field vibration signal data for diagnosing the fault of designated machinery. As the pattern recognition tool of that signal, neural network which use usually back-propagation algorithm was used in the diagnosis of rotating machinery. In this paper, self-organizing feature map(SOFM) which is unsupervised learning algorithm is used in the abnormal defect diagnosis of rotating machinery and then learning vector quantization(LVQ) which is supervised learning algorithm is used to improve the quality of the classifier decision regions.

• Journal of the Korean Society of Manufacturing Process Engineers
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• v.15 no.4
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• pp.134-140
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• 2016

Main Spindle System has effect on performance of machine tools and working quality as well as is required of high reliability. Especially, it takes great importance in producing automobiles which includes a large number of working processes. However, main spindle unit in Machine tools are often cases where damage occurs do not meet the design life due to driving in harsh environments. This is when excessive maintenance and repair of machine tools or for damage stability has resulted in huge economic losses. Therefore, this studying propose a method of accelerated life test for diagnosing and prognosis the state of life assessment main spindle system. Time status monitoring of diagnostic data - through the analysis of the frequency band signals were carried out inside the main spindle bearing condition monitoring and fault diagnosis.

• Journal of the Korean Society of Manufacturing Technology Engineers
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• v.23 no.6
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• pp.624-629
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• 2014

The purpose of this study is to carry out the task of engine hesitation which occurred intermittently in driving due to the defective CKPS of LPI vehicles. As the result of the wrong data from the equipment of D-logger, the signal error of CKPS caused the engine hesitation. We performed a study in the followings to analyze and investigate the cause effectively. First, we have investigated the control wiring harness and connector pin contact defect inspection. Second, we have inspected the defection of CKPS separately. From this study, it was found that the engine hesitation were caused by the bad durability and we have showed how to diagnosis the fault of the engine hesitation intermittently while driving. Therefore, it is determined that we have to improve the durability of the CKPS through a strict quality control and to increase the reliability.