• Title/Summary/Keyword: External Quality

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Guideline on Acceptance Test and Commissioning of High-Precision External Radiation Therapy Equipment

  • Kim, Juhye;Shin, Dong Oh;Choi, Sang Hyoun;Min, Soonki;Kwon, Nahye;Jung, Unjung;Kim, Dong Wook
    • Progress in Medical Physics
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    • v.29 no.4
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    • pp.123-136
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    • 2018
  • The complex dose distribution and dose transfer characteristics of intensity-modulated radiotherapy increase the importance of precise beam data measurement and review in the acceptance inspection and preparation stages. In this study, we propose a process map for the introduction and installation of high-precision radiotherapy devices and present items and guidelines for risk management at the acceptance test procedure (ATP) and commissioning stages. Based on the ATP of the Varian and Elekta linear accelerators, the ATP items were checked step by step and compared with the quality assurance (QA) test items of the AAPM TG-142 described for the medical accelerator QA. Based on the commissioning procedure, dose quality control protocol, and mechanical quality control protocol presented at international conferences, step-by-step check items and commissioning guidelines were derived. The risk management items at each stage were (1) 21 ionization chamber performance test items and 9 electrometer, cable, and connector inspection items related to the dosimetry system; (2) 34 mechanical and dose-checking items during ATP, 22 multileaf collimator (MLC) items, and 36 imaging system items; and (3) 28 items in the measurement preparation stage and 32 items in the measurement stage after commissioning. Because the items presented in these guidelines are limited in terms of special treatment, items and practitioners can be modified to reflect the clinical needs of the institution. During the system installation, it is recommended that at least two clinically qualified medical physicists (CQMP) perform a double check in compliance with the two-person rule. We expect that this result will be useful as a radiation safety management tool that can prevent radiation accidents at each stage during the introduction of radiotherapy and the system installation process.

Correlation between Egg Breakage and Cumulative External Forces on Eggs during Egg Collection in Laying Hen Farms (산란계 농장 계란 이송라인의 누적충격강도와 파각발생율의 상관성 분석)

  • Dong-Hae Joh;Byung-Yeon Kwon;Da-Hye Kim;Da-Hye Kim;Kyung-Woo Lee
    • Korean Journal of Poultry Science
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    • v.50 no.1
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    • pp.23-30
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    • 2023
  • This study was conducted to analyze the correlation between egg breakage rate and cumulative external forces on eggs during the egg transfer system in 12 commercial layers farms. The commercially available electronic egg device was used to detect the external forces on eggs during egg collection systems. In addition, egg breakage rate per farm was collected. It was found that the external force on eggs were greater in the order of washer and dryer connection part, conveyor connection part, transfer, sorter, collecting elevator, packer, egg transfer connection part, and egg tray. A positive relationship between the external forces on eggs during egg transit system and the incidence of cracked eggs per farm was noted. The external forces on eggs varied from 5G to 38G depending on the location and the egg breakage rate ranged from 3.2 to 14.5% per farm. Although efforts to produce eggs with high eggshell quality are considered important, extra care should be made to lower the external forces on eggs during the egg transfer system from laying house to egg packing center.

Evaluation of Health Care Services of Public Health Centers: SERVQUAL (SERVQUAL을 적용한 일 보건소 이용자의 보건의료서비스 질적 수준 평가)

  • Joung, Hye Young;Byeon, Do Hwa
    • Journal of Korean Public Health Nursing
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    • v.28 no.3
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    • pp.553-564
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    • 2014
  • Purpose: The aim of this study is to identify the expectations and perceptions of health center users as to the services. SERVQUAL scale was used for measurement of service quality. The purpose of this study is to offer baseline data for improving the quality of health care services. Methods: The subjects were users of a health center in S City in Kangwon-do; 170 people participated in this study. Results: Regarding service quality depending on general characteristics, the following results were obtained. First, there were statistically significant differences depending on the gender, purpose of visit, and satisfaction in the health center. Second, the services fell short of the expectations. Third, the quality of 'safe, accurate services' scored the highest, while 'empathy and friendliness' scored the lowest. Fourth, 'internal, external environment of the health center' scored the highest, while 'courtesy of staff' scored the lowest. There were no statistically significant differences. Conclusion: Based on the findings, the following are suggested. First, employee education should be provided for development of empathy and interaction with patients; those are the weakest areas in the health care services. Second, a system allowing patients to understand and participate in their treatment should be developed.

A Study on the TQM and 6 Sigma Management - Primarily on service industry - (TQM과 6시그마 경영에 관한 고찰 - 서비스산업을 중심으로)

  • 김동훈;장영준
    • Journal of Korean Society for Quality Management
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    • v.30 no.3
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    • pp.120-138
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    • 2002
  • In order to carry out TQM and 6 Sigma management, it is the key elements to make clear a goal and a mission. Above all, we can succeed In achieving a dramatic change and a great outcome only when we make clear the method, incentives, organization and plans under the clear objective. In order to secure the competitiveness against the external challenge, it is essential to keep the several crucial factors such as CEO's will, the systematic process to measure and manage, monitoring to satisfy customer's needs and an aggressive development of TQM activity to encourage the endeavour of the relentless enhancement, and also a positive effort Is to be made for evaluating all quality culture like training experts internally by an outstanding training program under CEO's firm leadership. This study is carried out to understand that which features and factors of success can exist in a company culture if a company accepts a theoretical basis and concept, the general of TQM and 6 Sigma which are one of a management strategy, and carries out TQM and 6 Sigma for achieving improvement of quality and customer's satisfaction.

A Resource Allocation Model for Data QC Activities Using Cost of Quality (품질코스트를 이용한 데이터 QC 활동의 자원할당 모형 연구)

  • Lee, Sang-Cheol;Shin, Wan-Seon
    • IE interfaces
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    • v.24 no.2
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    • pp.128-138
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    • 2011
  • This research proposes a resource allocation model of Data QC (Quality Control) activities using COQ (Cost of Quality). The model has been developed based on a series of research efforts such as COQ classifications, weight determination of Data QC activities, and an aggregation approach between COQ and Data QC activities. In the first stage of this research, COQ was divided into the four typical classifications (prevention costs, appraisal costs, internal failure costs and external failure costs) through the opinions from five professionals in Data QC. In the second stage, the weights of Data QC activities were elicited from the field professionals. An aggregation model between COQ and Data QC activities has been then proposed to help the practitioners make a resource allocation strategy. DEA (Data Envelopment Analysis) was utilized for locating efficient decision points. The proposed resource allocation model has been validated using the case of Korea national defense information system. This research is unique in that it applies the concept of COQ to the data management for the first time and that it demonstrates a possible contribution to a real world case for budget allocation of national defense information.

A Study on the using of the Ventilation System as the Method of Improvement of Air Quality in the Schools (학교건물의 공기질 개선을 위한 환기시스템 적용에 관한 연구)

  • Ahn, Chul-Lin;Kim, Jwa-Jin;Kum, Jong-Soo;Park, Hyo-Soon
    • Journal of the Korean Institute of Educational Facilities
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    • v.11 no.2
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    • pp.17-23
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    • 2004
  • The purpose of this study concerns the improvement of air quality in school classrooms. Polluted indoor air is improved by efficient ventilation systems. So it is important to measure the amount of ventilation needed in classrooms. First, the amount of natural ventilation were measured through a tracer gas method. And we have established a heat recovery ventilation system from 4 cases of airflow in classrooms, and we have measured the change of $CO_2$ density. According to air quality measurements in the classrooms, the density of $CO_2$ is well above environmental standards which are acceptable. When the amount of ventilated airflow increases, indoor air quality is improved. It is surveyed that the most suitable amount of external inducted air is 770 CMH to satisfy $CO_2$ less than 1,000 ppm in classrooms. For improvement of air quality in classrooms, we must consider a suitable ventilation plan and installation of ventilation systems when constructing school buildings.

Indoor Air Condition Measurement and Regression Analysis System Through Sensor Measurement Device and Gated Recurrent Unit (센서 측정기와 회로형 순환 유닛(GRU)을 이용한 실내 공기 품질 측정 및 추세 예측 시스템)

  • Ahn, Jaehyun;Shin, Dongil;Kim, Kyuho;Yang, Jihoon
    • KIPS Transactions on Software and Data Engineering
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    • v.6 no.9
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    • pp.457-464
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    • 2017
  • Indoor air quality analysis is conducted to understand abnormal atmospheric phenomena and the external factor affecting indoor air quality. By recording indoor air quality measurements periodically, we are able to observe patterns in air quality. However, it difficult to predict the number of potential parameters, set parameters for a given observation and find the coefficients. Moreover, the results are time-dependent. Thus to address these issues, we introduce a microchip capable of periodically recording indoor air quality and a model that estimates atmospheric changes based on time series data.

The Effects of a Rehabilitation Program on Physical Health, Physiological Indicator and Quality of Life in Breast Cancer Mastectomy Patients (재활프로그램이 유방암절제술 환자의 신체건강, 생리지수 및 삶의 질에 미치는 효과)

  • Park, Hyoung-Sook;Cho, Gyoo-Yeong;Park, Kyung-Yeon
    • Journal of Korean Academy of Nursing
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    • v.36 no.2
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    • pp.310-320
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    • 2006
  • Purpose: The purpose of this study was to investigate the effects of a rehabilitation program on physical health, physiological indicators and quality of life in breast cancer mastectomy patients. Methods: The subjects included thirty-one patients with breast cancer(17 in the experimental group and 14 in the control group). The subjects in the experimental group participated in a rehabilitation program for 10 weeks, which was composed of an exercise program, teaching, counseling and support for 2 sessions per week. Results: There was a significant increase in flexion, internal rotation and external rotation but no significant increase in extension in the experimental group compared to the control group. The total cholesterol, triglyceride, HDL, LDL, and CD56 in the experimental group compared to the control group was not significantly decreased after the rehabilitation program. Compared to the control group, quality of life in the experimental group was significantly improved and fatigue in that group was significantly decreased after the rehabilitation program. Conclusion: The 10-week rehabilitation program showed a large affirmative effect on physical health, physiological indicators and quality of life in breast cancer mastectomy patients.

Effect of the quality of gochujang on purchasing and recommendation intentions

  • Han, A Reum;Jo, A Ra;Jang, Dong Heon
    • Korean Journal of Agricultural Science
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    • v.44 no.2
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    • pp.283-295
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    • 2017
  • This study analyzed the effect of the intrinsic and extrinsic attributes of gochujang, Korean red chili paste, on purchasing intention and recommendation intention for consumption. Survey participants were female, married, aged 30 - 39 years, and highly educated with graduation from a university. Most participants purchased gochujang 1 - 2 times per year, most commonly at a shopping mall, and acquired information on the gochujang product from an advertisement or sponsored TV shows. For the factor analysis, five variables for intrinsic quality were considered: namely, healthiness, economics, convenience, diversity, and sense, whereas three variables were considered for extrinsic quality: trust, external appearance, and image. The factor analysis also confirmed the correlation between the validity and the reliability of the purchasing and recommendation intentions. The effect of intrinsic quality of gochujang on purchasing and recommendation intentions was tested through a multiple regression analysis. The purchase intention was most significantly affected by healthiness, cost, and convenience. On the other hand, the recommendation intention was most significantly affected by the diversity and, to a lesser degree, by the healthiness of the product. Among the extrinsic qualities, trust of consumers and the product appearance had a significant effect on purchasing intention. Recommendation intention was significantly affected by the appearance. And trust significantly influenced the recommendation. Therefore, a concrete and systematic marketing approach considering these factors.

Mobilizing Voluntary Organizations in Taiwanese Emergency Response: Citizen Engagement and Local Fire Branch Heads

  • Wu, Wei-Ning;Chang, Ssu-Ming;Collins, Brian K.
    • Journal of Contemporary Eastern Asia
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    • v.14 no.2
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    • pp.45-55
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    • 2015
  • This article assesses factors that affect the ability of local fire branch heads in Taiwan to mobilize volunteer organizations in local emergency responses. Data from a survey of local fire branch heads in Taiwan is analyzed by using an OLS model to test three hypotheses regarding the relationship between the dependent variable, perceived ability to mobilize volunteer organizations in emergency response, and three explanatory variables: organizational capacity, quality of communication, and the quality of citizen engagement ex-ante to emergency response. The model indicates a positive relationship between the ability to mobilize volunteer organizations in emergency response, the quality of communications, and the quality of citizen engagement in preparedness. The research suggests that local fire branch heads and volunteer organizations should begin the process of emergency response mobilization in the preparedness stage. The quality of the citizen engagement in preparedness stages should increase the ability of local fire branch managers to mobilize external resources in emergency response.