• 재활치료과학
• /
• 제7권2호
• /
• pp.51-61
• /
• 2018

목적 : 본 연구의 목적은 호주에서 개발된 수행기반의 관찰평가도구인 Melbourne Low-Vision ADL Index(MLVAI)를 한국 문화에 적합하게 구성하여 신뢰도와 타당도를 검증하는 것이었다. 연구방법 : 연구대상자는 지역사회에 거주하고 있는 만 20세 이상의 저시력인 26명, 정안인 42명으로 총 68명이었다. 한국판 MLVAI는 번역 검증 및 도구 구성에 대한 전문가 검증을 통해 완성하였다. 한국판 MLVAI의 타당도는 내용타당도, 판별타당도, 수렴타당도 검증을 통해 수립하였고, 신뢰도는 항목에 대한 내적일치도, 검사-재검사 신뢰도, 검사자간 신뢰도를 분석하였다. 결과 : 내용타당도 수립을 위해 저시력 관련 분야의 전문가들이 시행한 문항적합도 검증에서는 .78이상으로 타당성이 수립되었다. 판별타당도 검증은 저시력 집단의 평균점수가 통계적으로 낮았다(p<.05). 수렴타당도는 Low Vision Quality of Life Questionnaire(LVQOL)을 이용하여 한국판 MLVAL 총점과의 상관계수 .751을 산출하였고 통계적으로 유의하였다(p<.05). 전체 항목에 대한 Cronbach's ${\alpha}$값은 .983으로 높았으며 검사-재검사 신뢰도는 .976(p<.05), 검사자간 신뢰도는 급간 내 상관계수(ICC2,1) .91로 모두 양호하였다(p<.05). 결론 : 본 연구 결과 국내 실정에 맞게 수정한 한국판 MLVAI는 신뢰도와 타당도를 모두 갖춘 일상생활 평가도구로 작업치료 중재 시 저시력인의 일상생활활동의 평가를 위해 유용하게 사용될 수 있을 것이다.

• 환경생물
• /
• 제39권1호
• /
• pp.88-99
• /
• 2021

본 연구에서는 해양생태계 위해성 평가 시 생물학적, 비생물학적 요인에 대한 인공생태계 실험의 초기 안정성을 객관적으로 평가하기 위해 육상 기반 해양 폐쇄형 메조코즘(LMCM) 실험을 수행하였다. 변동계수(CV)의 진폭 변화는 실험의 안정성 분석 자료로 사용하였다. 본 연구에서 LMCM 그룹(200, 400, 600, 1,000 L) 내 비생물학적 실험변수에 대한 CV 값은 20~30% 범위로 유지되었다. 그러나 엽록소-a, 식물플랑크톤 및 동물플랑크톤과 같은 생물학적 요인의 CV 진폭 파이는 600L와 1,000L LMCM 그룹에서 높게 분석되었다. 이와 같은 결과는 실험 초기에 생물학적 변수에 대한 제어가 부족하여 발생한 것으로 해석된다. 또한 ANOVA 분석에 따르면, LMCM 그룹 간 CV 값은 생물학적 요인과 연관된 실험변수들에서 유의한 차이를 보였다(p<0.05). 본 연구에서 생물학적 변수의 안정화는 LMCM 그룹의 크기와 그룹 내 생물의 생태-생리학적 활동의 복잡성을 감안할 때 수질 및 영양염 성분을 제외하면 실험 초기 생물학적 변수의 변동성을 제어하고 유지할 필요가 있으나 현실적으로 어려운 부분이 많았다. 결론적으로 해양에서 과학적 도구로써 인공생태계 실험은 생물학적, 비생물학적 요인을 구분하여 명확한 측정요소(endpoint)를 비교 분석할 수 있는 연구목적 수립, 실험조건의 안정성 유지 및 실험결과를 객관적으로 해석할 수 있는 표준화된 분석 기법의 도입이 필요한 것으로 판단된다.

• 품질경영학회지
• /
• 제51권4호
• /
• pp.531-550
• /
• 2023

Purpose: The unique nature of life-and-death healthcare services sets them apart from other service industries. While many studies exist on the relationship between healthcare services and customer satisfaction, most of them focus on mildly ill patients, ignoring the differences between critically ill and non-seriously ill patients. This study discusses the actual quality of healthcare services for patients who are facing life-threatening illnesses and are on life support, as well as their right to protection and dignity. Methods: The survey conducted to 149 patients with the four major illnesses: cancer, heart disease, brain disease and rare and incurable disease, those who have experiences with senior general hospitals. Results: The basic statistics of this study are adequate to represent the four major critical illnesses, and the reliability and validity of this study's hypotheses, which were measured by multiple items, were analyzed, and the internal consistency was judged to be high. In addition, it was found that the convergent validity was good and the discriminant validity was also secured. When examining the goodness of fit of the hypotheses, the SRMR, which is the standardized root mean square of residuals that measures the difference between the covariance matrix of the data variables and the theoretical covariance matrix structure of the model, met the optimal criteria. Conclusion: The academic implications of this study are differentiated from other studies by moving away from evaluating the quality of healthcare services for mildly ill patients and focusing on the rights and dignity of patients with life-threatening illnesses in four senior general hospitals. In terms of academic implications, this study enriches the depth of related studies by demonstrating the right to protection and dignity as a factor of patient-centeredness based on physical environment quality, interaction quality, and outcome quality, which are presented as sub-factors of healthcare quality. We found that the three quality factors classified by Brady and Cronin (2001) are optimized for healthcare quality assessment and management, and that the results of patients' interaction quality assessment can be used to provide a comprehensive quality rating for hospitals. Health and human rights are inextricably linked, so assessing the degree to which rights and dignity are protected can be a superior and more comprehensive measurement tool than traditional health level measures for healthcare organizations. Practical implications: Improving the quality of the physical environment and the quality of outcomes is an important challenge for hospital managers who attract patients with life and death conditions, but given the scale and economics of time, money, and human inputs, improving the quality of interactions and defining them as performance indicators in hospital quality management is an efficient way to create maximum value in the short term.

• Asian Journal of Business Environment
• /
• 제7권1호
• /
• pp.31-36
• /
• 2017

Purpose - The purpose of the study was to develop a reliable measurement tool for the evaluation of TQM application in Greek education settings and to examine the factors that determine quality of education. Research design, data, and methodology - A questionnaire commencing from the questions included in the Application Guide of Common Assessment Framework was used for research purposes. Each item was scored on a 5point Likert scale - to a sample of 112 educators (55 men, 57 women), all teachers working in public primary education schools. Factor analysis resulted in a questionnaire of 43 items consisting of five factors, teacher satisfaction, school management and operation, motivation, effectiveness of public school leadership and finance management. Results - Results revealed a positive correlation among all factors. Reliability results using Cronbach's α was high (a=.961) for all factors of the questionnaire ranging from α=.930 (for motivation) to α=.797 (for financial management). Additionally, ICC procedure revealed high values for the above mentioned factors. Conclusions - The study resulted in the construction of a reliable questionnaire focused exclusively on TQM that can be used in future studies using larger samples in different areas so as to draw useful conclusions regarding TQM application in Greek education settings and further identify the factors determining quality in education.

• Journal of Astronomy and Space Sciences
• /
• 제19권4호
• /
• pp.367-376
• /
• 2002

As of September 2002, there are more than 60 operational permanent Global Positioning System (GPS) stations in South Korea. Their data are being used for a variety of purposes: geodynamics, geodesy, real-time navigation, atmospheric science, and geography. Especially, many of the sites are reference stations for DGPS (Differential GPS). However, there has been no comprehensive and qualitative analysis published to evaluate the data quality. In this study, we present preliminary results of our assessment of the permanent GPS sites in South Korea. We have analyzed the multi-path characteristics of each station using a quality-checking software package called TEQC. Another multipath analysis tool based on post-fit phase residuals was used to check the repeating patterns and the amount of the multipath at each site. The long-term stability of each station was analyzed using the root-mean-square (RMS) error of the estimated site positions for one year, which enabled us to evaluate the mount stability. In addition, the number of cycle slips at each site was derived by TEQC. Based on these series of tests, we compared the stability and data quality of permanent GPS stations in South Korea.

• 대한한의학회지
• /
• 제45권1호
• /
• pp.45-64
• /
• 2024

Objectives: This study is purposed to investigate the effect and safety of laser therapy for stroke patients by systematic review and meta-analysis of the randomized controlled trials (RCTs). Methods: RCTs on the treatment of laser therapy for stroke patients were selected among the literature published from January 2000 to June 2022 in twelve domestic and foreign databases. The quality of the literature was evaluated using the Cochrane's Risk of Bias tool and RevMan 5.4 was used for the synthesis of results. Results: Total 2,598 patients with stroke were finally selected from 18 RCTs. Meta-analysis showed that laser therapy was effective in significantly improving activities of daily living (MBI), motor function (effective rate), upper motor function (FMA-UE), shoulder pain related factors (CGRP, ET-1, BK). Overall, the risk of bias was uncertain or low in the quality assessment of the literature. Conclusions: Although it is unclear that laser therapy is more effective than sham laser, laser therapy might be more effective in improving symptoms than conventional rehabilitation alone. Furthermore, no serious adverse events were founded in laser therapy studies. However, the quality of the selected literature was generally low. Therefore, further studies with high methodological quality on laser therapy for stroke patients would be required in the future.

• International Journal of Stem Cells
• /
• 제17권2호
• /
• pp.120-129
• /
• 2024

Recent amendments to regulatory frameworks have placed a greater emphasis on the utilization of in vitro testing platforms for preclinical drug evaluations and toxicity assessments. This requires advanced tissue models capable of accurately replicating liver functions for drug efficacy and toxicity predictions. Liver organoids, derived from human cell sources, offer promise as a reliable platform for drug evaluation. However, there is a lack of standardized quality evaluation methods, which hinders their regulatory acceptance. This paper proposes comprehensive quality standards tailored for liver organoids, addressing cell source validation, organoid generation, and functional assessment. These guidelines aim to enhance reproducibility and accuracy in toxicity testing, thereby accelerating the adoption of organoids as a reliable alternative or complementary tool to animal testing in drug development. The quality standards include criteria for size, cellular composition, gene expression, and functional assays, thus ensuring a robust hepatotoxicity testing platform.

• Nutrition Research and Practice
• /
• 제4권2호
• /
• pp.163-172
• /
• 2010

The purposes of this study were to assess hospital foodservice quality and to identify causes of quality problems and improvement strategies. Based on the review of literature, hospital foodservice quality was defined and the Hospital Foodservice Quality model was presented. The study was conducted in two steps. In Step 1, nutritional standards specified on diet manuals and nutrients of planned menus, served meals, and consumed meals for regular, diabetic, and low-sodium diets were assessed in three general hospitals. Quality problems were found in all three hospitals since patients consumed less than their nutritional requirements. Considering the effects of four gaps in the Hospital Foodservice Quality model, Gaps 3 and 4 were selected as critical control points (CCPs) for hospital foodservice quality management. In Step 2, the causes of the gaps and improvement strategies at CCPs were labeled as "quality hazards" and "corrective actions", respectively and were identified using a case study. At Gap 3, inaccurate forecasting and a lack of control during production were identified as quality hazards and corrective actions proposed were establishing an accurate forecasting system, improving standardized recipes, emphasizing the use of standardized recipes, and conducting employee training. At Gap 4, quality hazards were menus of low preferences, inconsistency of menu quality, a lack of menu variety, improper food temperatures, and patients' lack of understanding of their nutritional requirements. To reduce Gap 4, the dietary departments should conduct patient surveys on menu preferences on a regular basis, develop new menus, especially for therapeutic diets, maintain food temperatures during distribution, provide more choices, conduct meal rounds, and provide nutrition education and counseling. The Hospital Foodservice Quality Model was a useful tool for identifying causes of the foodservice quality problems and improvement strategies from a holistic point of view.

• Journal of Preventive Medicine and Public Health
• /
• 제45권4호
• /
• pp.267-275
• /
• 2012

Objectives: This study was conducted to assess the potential health impacts and improve the quality of the free immunization program in Jinju City by maximizing the predicted positive health gains and minimizing the negative health risks. Methods: A steering committee was established in September 2010 to carry out the health impact assessment (HIA) and began the screening and scoping stages. In the appraisal stage, analysis of secondary data, a literature review, case studies, geographic information systems analysis, a questionnaire, and expert consultations were used. The results of the data collection and analyses were discussed during a workshop, after which recommendations were finalized in a written report. Results: Increased access to immunization, comprehensive services provided by physicians, the strengthened role of the public health center in increasing immunization rates and services, and the ripple effect to other neighboring communities were identified as potential positive impacts. On the other hand, the program might be inaccessible to rural regions with no private clinics where there are more at-risk children, vaccine management and quality control at the clinics may be poor, and vaccines may be misused. Recommendations to maximize health gains and minimize risks were separately developed for the public health center and private clinics. Conclusions: The HIA provided an opportunity for stakeholders to comprehensively overview the potential positive and negative impacts of the program before it was implemented. An HIA is a powerful tool that should be used when developing and implementing diverse health-related policies and programs in the community.

• Nuclear Engineering and Technology
• /
• 제42권4호
• /
• pp.339-364
• /
• 2010

Following a joint OECD/NEA-IAEA-sponsored meeting to define the current role and future perspectives of the application of Computational Fluid Dynamics (CFD) to nuclear reactor safety problems, three Writing Groups were created, under the auspices of the NEA working group WGAMA, to produce state-of-the-art reports on different aspects of the subject. The work of the second group, WG2, was to document the existing assessment databases for CFD simulation in the context of Nuclear Reactor Safety (NRS) analysis, to gain a measure of the degree of quality and trust in CFD as a numerical analysis tool, and to take initiatives to extend the existing databases. The group worked over the period of 2003-2007 and produced a final state-of-the-art report. The present paper summarises the material gathered during the study, illustrating the points with a few highlights. A total of 22 safety issues were identified for which the application of CFD was considered to potentially bring real benefits in terms of better understanding and increased safety. A list of the existing databases was drawn up and synthesised, both from the nuclear area and from other parallel, non-nuclear, industrial activities. The gaps in the technology base were also identified and discussed. In order to initiate new ways of bringing experimentalists and numerical analysts together, an international workshop -- CFD4NRS (the first in a series) -- was organised, a new blind benchmark activity was set up based on turbulent mixing in T-junctions, and a Wiki-type web portal was created to offer online access to the material put together by the group giving the reader the opportunity to update and extend the contents to keep the information source topical and dynamic.