• 제목/요약/키워드: Quality improvement activities

검색결과 603건 처리시간 0.022초

Responses of Low-Quality Soil Microbial Community Structure and Activities to Application of a Mixed Material of Humic Acid, Biochar, and Super Absorbent Polymer

  • Li, Fangze;Men, Shuhui;Zhang, Shiwei;Huang, Juan;Puyang, Xuehua;Wu, Zhenqing;Huang, Zhanbin
    • Journal of Microbiology and Biotechnology
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    • 제30권9호
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    • pp.1310-1320
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    • 2020
  • Low-quality soil for land reuse is a crucial problem in vegetation quality and especially to waste disposal sites in mining areas. It is necessary to find suitable materials to improve the soil quality and especially to increase soil microbial diversity and activity. In this study, pot experiments were conducted to investigate the effect of a mixed material of humic acid, super absorbent polymer and biochar on low-quality soil indexes and the microbial community response. The indexes included soil physicochemical properties and the corresponding plant growth. The results showed that the mixed material could improve chemical properties and physical structure of soil by increasing the bulk density, porosity, macro aggregate, and promote the mineralization of nutrient elements in soil. The best performance was achieved by adding 3 g·kg-1 super absorbent polymer, 3 g·kg-1 humic acid, and 10 g·kg-1 biochar to soil with plant total nitrogen, dry weight and height increased by 85.18%, 266.41% and 74.06%, respectively. Physicochemical properties caused changes in soil microbial diversity. Acidobacteria, Bacteroidetes, Chloroflexi, Cyanobacteria, Firmicutes, Nitrospirae, Planctomycetes, and Proteobacteria were significantly positively correlated with most of the physical, chemical and plant indicators. Actinobacteria and Armatimonadetes were significantly negatively correlated with most measurement factors. Therefore, this study can contribute to improving the understanding of low-quality soil and how it affects soil microbial functions and sustainability.

고혈압 환자의 삶의 질 관련 요인: 제 7기 1차년도(2016년) 국민건강영양조사 (Factors Related to Hypertension Patients' Quality of Life: The 7th Korean National Health and Nutrition Examination(1st Year, 2016))

  • 김수이;우상준;정영해
    • 한국학교ㆍ지역보건교육학회지
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    • 제21권1호
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    • pp.61-74
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    • 2020
  • Objectives: This study aims to examine hypertension patients' quality of life by using the data of the 7th Korea National Health and Nutrition Examination Survey (1st year, 2016), identify the factors related to this, and utilize the results as basic data for intervention that can improve hypertension patients' quality of life. Methods: For the research subjects, this study extracted 1,531 patients who were diagnosed with hypertension by a doctor from the total sample of 8,150 participants of the 7th Korea National Health and Nutrition Examination Survey, and selected 1,072 patients with no missing value in the variables to be analyzed as the final research subjects. The SPSS(version25.0) program was used for the analysis of the collected data. Then, this study used a backward elimination multiple regression analysis method that applied complex sample, to examine the factors related with the finally estimated quality of life. Results: The results of this study revealed that hypertension patients' quality of life was related with age, occupation, spouse, household income, weight gain, restriction of activity, subjected health status, perceived stress, and presence of comorbidity. The final model explained 37.0% of the variance (Wald F=30.012 p<.001). Conclusions: When an intervention program is implemented for the improvement of hypertension patients' quality of life in the future, it will be effective to construct the program according to age group, employment, marital status and household income. As for the program operation, patients should get help therefrom to control weight, facilitate activities and relieve their stress, and they should be also motivated to feel healthy. Furthermore, education should be offered so that they appropriately manage their underlying disease at an early stage.

노인의 여가활동에 대한 혈관상태와 스트레스 비교연구 (A Comparative Study on Vascular Conditions and Stress on Leisure Activity in the Elderly)

  • 김동현
    • 대한지역사회작업치료학회지
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    • 제10권3호
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    • pp.53-61
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    • 2020
  • 목적: 본 연구는 노인의 여가활동에 대한 혈관상태와 스트레스를 알아보고 스트레스의 문제가 노인의 혈관상태에 미치는 영향을 알아보고자 하였다. 연구방법: 본 연구는 노인 172명을 대상으로 설문조사를 실시하였고 여가활동 항목의 구성을 위해 타당도와 신뢰도 분석을 실시하였고 여가활동에 대한 혈관상태와 스트레스를 분석하였으며 노인의 혈관상태에 영향을 미치는 스트레스 요인을 분석하기 위해 회귀분석을 실시하였다 결과: 첫째, 노인의 여가활동에 대한 혈관상태의 평균값 비교에서는 유의미한 차이가 있었고(p=.012) 체육활동이 혈관 상태에서 가장 안정성이 높았다. 둘째, 노인의 여가활동에 대한 스트레스의 평균값 비교에서는 유의미한 차이가 있었고(p=.035) 휴식 및 기타활동이 다른 활동보다 높게 나타났다. 셋째, 노인의 스트레스 문제가 혈관상태에 미치는 영향은 경제적어려움과 건강문제에서 영향이 있는 것으로 나타났다 결론: 노인에게서 여가활동은 삶의 질 변화의 요인으로 작용할 수 있다. 노인은 여가활동을 통한 혈관상태의 개선과 스트레스의 감소를 기대할 수 있고 특히 체육활동은 혈관상태와 긍정적 관계가 있고 휴식 및 기타활동은 스트레스와 부정적 관계가 있다. 이로 인해, 본 연구는 노인의 여가활동 선정과 지속적인 참여의 중요성을 확인할 수 있었다.

카지노 보안관리 서비스품질 결정요인이 내부고객의 조직신뢰 및 충성도에 미치는 영향 (A Study on the Effects of Determinants of Casino Security Management Service Quality on Organizational Trust and Loyalty of Internal Customers)

  • 이승훈;강민완;전용태
    • 시큐리티연구
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    • 제42호
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    • pp.115-153
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    • 2015
  • 본 연구는 카지노기업이 보안관리 서비스의 품질을 향상시키면 기업의 성과요인의 향상으로 나타나는지 실증적으로 분석하여, 그 인과관계를 규명한 이론적 근거를 제시하였으며, 보안관리 서비스품질과 기업성과요인 사이의 인과관계와 매커니즘을 규명하였다. 이를 위해 변수간의 구조적 관계를 추론할 수 있는 PLS 3.0을 사용하였으며, 인구통계학적 분석과 이에 따른 변수 간 차이검증을 위해 SPSS 19.0을 활용하였다. 분석을 통해 카지노가 보안관리 서비스품질을 향상시키기 위해서 보증성, 공감성, 보안성을 우선적으로 관리해야하고, 이 중에서 보안성이 가장 중요한 요인이라는 것을 확인하였다. 이를 바탕으로 서비스품질을 향상시키기 위한 개별요인의 중요도와 우선순위를 고려할 수 있는 이론적 실증적 근거를 제시하였고, 보안관리 서비스가 카지노기업의 성과에 재무적 비재무적으로 기여하며 카지노의 안정적인 영업활동을 위해서 필수적인 요소라는 것을 규명하였다. 또한 카지노기업이 성과향상을 위한 경영전략 수립 시 보안관리 서비스의 중요도를 인식하고, 서비스품질향상을 위해 우선적으로 고려해야 하는 요인을 중심으로 서비스품질 향상방안을 마련하고, 그 결과를 예측할 수 있는 시사점을 제시하였다.

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지역사회거주 성인의 뇌졸중 영향 요인 : 건강관련 삶의 질을 중심으로 (Factors Influencing Stroke in Community-dwelling Adults : Focusing on Health-related Quality of Life)

  • 문종훈
    • 대한지역사회작업치료학회지
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    • 제9권1호
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    • pp.35-45
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    • 2019
  • 목적 : 본 연구는 지역사회거주 성인에서 뇌졸중에 영향을 미치는 요인을 규명하고자 하였다. 연구방법 : 본 연구는 2016년 지역사회건강조사의 원시자료를 이용하였다. 이 조사에 참여한 대상자 228,452명 중 결측 값을 제거한 225,003명(98.5%)이 본 연구의 분석에 포함되었다. 사회인구학적 특성은 성별, 나이, 지역, 소득, 혼인상태로 설정하였고, 동반질환은 골다공증, 고혈압, 당뇨병, 이상고지혈증, 심근경색, 관절염이 선택되었다. 건강관련 삶의 질은 EuroQol-5 Dimension로 평가되었고 하위영역인 운동능력, 자기관리, 일상활동, 통증/불편, 불안/우울의 수준을 확인하였다. 종속변수는 뇌졸중 여부, 독립변수는 위에 서술한 16개 변수였다. 통계분석은 이분형 로지스틱 회귀분석을 이용하였다. 결과 : 인구사회학적 특성 변수에서는 남성일수록, 나이가 증가할수록, 소득수준이 낮을수록 뇌졸중을 높게 예측하였다. 동반질환 여부에서, 고혈압, 당뇨, 이상고지혈증, 심근경색이 있을수록 뇌졸중을 높게 예측하였다. 건강관련 삶의 질 하위영역에서 뇌졸중을 예측하는 영역은 자기관리, 일상활동, 운동능력, 불안/우울 순서로 나타났다. 결론 : 본 연구의 결과는 지역사회에 거주하는 뇌졸중 성인의 자조관리와 일상생활 능력 증진을 위한 맞춤형 건강증진 프로그램 개발이 필요함을 제안한다.

외식 프랜차이즈 사업의 성과공유활동이 동태적 신뢰를 통해 재계약의도에 미치는 영향 (The Effects of the Benefit-Sharing Activities through Dynamic Trust on Recontract Intention in Foods-Service Franchisers)

  • 김하경;박현숙
    • 유통과학연구
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    • 제14권7호
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    • pp.101-114
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    • 2016
  • Purpose - The aim of this study is to investigate the benefit-sharing activities. They affect contract renewal intention between franchisers and franchisees that are linked through a contract with the intention of building their relationship from the level based on dynamic trust. This study will show a new approach on qualitative growth and consolidation of competitive power and may well be able to suggest practical ways to strengthen directions in the field of franchise industries. Research design, data, and methodology - In this study, based on literature review, we separated logistical-supporting activities and non-logistical-supporting activities from benefit-sharing activities. We modeled how benefit-sharing activities influence contract renewal intention of franchisees by dynamic trust. In particular, considering the possibility of trading concepts and characteristics of trust between providers opportunistic behaviors was defined as variables, depending on the situation and dynamic characters reveal their relationship trust concept. That is, dynamic trust having the possibility of changing depending on opportunistic risks and interdependencies by Lewis & Weigert(1985, 2012) was classified into transitional-based trust, calculated based trust, relational-based trust and balance-based on trust. The total of 104 samples from domestic franchisees being with franchisees were collected by using a structural composed questionnaire. Results - The results are as following. Benefit-sharing activities in logistical supporting activities appeared to affect the multidimensional concept of transitional trust, calculated based on trust, relationship-based trust and balance based on trust dynamic trust with all-defined impact. Non-logistical supporting activities appeared to affect significantly the positive (+) to the dynamic trust concept except transitional trust. Lewis & Weigert(1985; 2012) have proposed a dynamic confidence calculated from relations within-based trust relationship based on trust appears to affect the significant positive (+) to the balance-based confidence transactions confidence mechanism of the system side in the verified relationship. Finally, a relationship based on trust and confidence in the balance based on the Influence of dynamic renewed confidence showed significantly affect the positive(+). In particular, the balance based trust showed the acts as a mediating factors between relational trust and confidence and renew calculated. Conclusion - From the above these results, the significance from this study is as following. First, the proposed activity is to share and validate the approach by identifying the potential in the relationship from the contract with building dynamic trust, and one of the ways from the franchise headquarters and affiliated merchants mutual growth through win-win cooperation in sharing activities. Next, the dynamic segmentation confidence to suggest the possibility can be broken down over the validity and reliability test for each concept. In addition, by identifying the relationship between the dynamic level of confidence granular multi-dimensional concept, to determine the level of trust with a dynamic relationship between risk and interdependencies can be possible in franchise industries. In order to maintain and develop their mutual relationship, franchise industries should propose confidence-building steps to promote their quality improvement.

사용자 참여형 학교공간혁신의 교육적 효과 분석 - 인천광역시를 중심으로 - (Analysis of Educational Effect of User Participation School Space Innovation - Focused on Incheon Metropolitan City -)

  • 윤미정;이용환
    • 교육시설 논문지
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    • 제27권1호
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    • pp.11-19
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    • 2020
  • The purpose of this study is to think about the educational effect of school space innovation project through user participation, to investigate and analyze the actual situation of user participation school space innovation project of elementary, middle and high schools of Incheon Metropolitan Office of Education, The educational effect was analyzed. After the students and teachers participated in the improvement of the school space, the students' skills were improved. Overall, emotional abilities were most cultivated, and elementary school students were most physically cultivated. The intimacy created by participation and activities and play-oriented projects may have helped to develop students' abilities. In addition, the school became fun after user participation, and there was a positive effect of increasing a sense of apathy and belonging. The expansion of user participation has resulted in not only the satisfaction of space but also the friendship and emotional part of students. As a result of this study, the school space constructed through the user participation process brought about significant educational changes in school life and individual quality of life in the learning activities and school life of teachers and students, the main users of the school space.

제2형 당뇨병 환자의 D-chiro-inositol의 혈당강하 효과와 당뇨 자가관리 및 삶의 질: 경로분석 (Effect of Glucose Control, SDSCA and Quality of Life of D-chiro-inositol(DCI) in patients with type 2 diabetes: A Path Analysis)

  • 강영미;김현진;이태용;구본정
    • 한국산학기술학회논문지
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    • 제19권10호
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    • pp.243-253
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    • 2018
  • 본 연구 목적은 제2형 당뇨병 환자에서의 D-chiro-inositol(DCI)의 혈당강하 효과, 당뇨 자가관리(Summary of Diabetes Self-Care Activities, SDSCA) 및 삶의 질(SF-36 Version 2.0, Korean)에 미치는 요인을 파악하고자 하였다. 연구대상은 충남대학교병원 내분비대사내과에 내원한 제2형 당뇨병 환자 중에서 3제의 경구 혈당강하제를 12주 이상 투여 했음에도 불구하고 당화혈색소 7.0% 이상인 환자를 2015년 3월부터 2016년 5월까지 24주간 무작위 이중맹검 위약대조 임상시험으로 총 46명을 분석하였다. 연구결과, 실험군에서 DCI 투여 이후 당화혈색소 $8.75{\pm}0.79%$(베이스라인), $8.36{\pm}1.03%$(투여 12주), $8.65{\pm}0.81%$(투여 24주)으로 유의하게 감소하였으나(p<0.05), 대조군과의 변화량은 차이가 없었다. 흥미롭게도 실험군과 대조군에서 당뇨 자가관리 점수가 높아졌으며, 특히 실험군 변화량에서의 하부영역인 혈당검사 만이 유의한 차이를 보였고, 삶의 질은 투여 전 $73.05{\pm}16.85$점에서 투여후 $82.74{\pm}10.68$점으로 향상되었다. DCI 투여에 따른 실험군에서의 요인간 경로분석에서 공복 혈당 변화량은 당뇨 자가관리 변화량이 높을수록(${\beta}=-0.505$, t=-2.743) 높다고 확인되었다. 삶의 질 변화량에 가장 큰 영향을 준 변수는 공복 c-펩타이드 변화량이 높을수록(${\beta}=-0.445$, t=-2.668), 당뇨 자가관리 변화량이 높을수록(${\beta}=0.411$, t=2.024) 높은 것으로 확인되었다. 결론적으로 제2형 당뇨병 환자에게 DCI 투여는 투여 12주차에 혈당 강하 효과를 보이고, 24주차에는 없었지만, 혈당강하 효과는 환자의 당뇨 자가관리를 높이고 삶의 질을 향상시켰다. 본 연구에 기초하여 결과적인 지표와 제2형 당뇨병 환자의 주관적인 관점에서 평가될 수 있는 삶의 질에 대한 경로분석을 통하여 모형의 적합도에 관한 연구로써 그 의의가 있다고 본다.

통합예약 프로그램 개선을 통한 업무 프로세스 최적화 (Optimizing the work process through improvement of reservation system)

  • 서은희;정용환;;;박영재;박경진;김수미;권순안;대창민;민관홍
    • 한국의료질향상학회지
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    • 제19권1호
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    • pp.64-72
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    • 2013
  • Objective: To improve customer satisfaction through accurate information using computerized automation of the test reservation system and by performing all fasting tests on the same day with one fasting. Methods: Quality improvement activities of the test reservation system of Seoul National University Bundang Hospital improves internal and external customer satisfaction at the time of test scheduling by having the reservation system reflect test order and test time automatically and making the system to increase the same day test reservation rate. Results: Test process was smooth due to accurate test reservation and information based on test priority due to the introduction of the computerized test reservation system. Internal and external customer satisfaction improved due to the marked reduction in time required for making a reservation thanks to the improvement of work process. Conclusion: Building a computerized test reservation system was an effective measure to improve external and internal customer satisfaction.

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의료소비자가 인지하는 의료서비스 질의 구성 차원 (Dimensions of Consumer Ratings of a Hospital Outpatient Service Quality)

  • 유승흠;조우현;김동기;이윤환;문기태
    • Journal of Preventive Medicine and Public Health
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    • 제33권4호
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    • pp.495-504
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    • 2000
  • Objectives : To examine various dimensions of consumer ratings of health care service with factor analysis and to find which factors influence the overall quality of health care service. Methods : A cross-sectional study was conducted on outpatients of a general hospital located in Sungnam City. A self-administered questionnaire was used to assess the consumer's ratings of health care service received. The response rate was 92.8% with a total of 537 persons completing the questionnaire. Factor analysis was performed on 34 items evaluating the quality of health care service. Items were grouped into 5 dimensions as a result of factor analysis and the reliability and validity of influence on patient service assessment were evaluated for each dimension. Results : The 5 dimensions were as follows, 1) physician services, 2) non-physician services, 3) process 4) facilities, and 5) cleanliness A positive correlation with the quality of health care service was found for the dimensions of non-physician services and process, while no significant correlation was found for the dimensions of physician services, facilities, and cleanliness. Conclusions : The result of this study may provide basic information for the development of future self-administered questionnaires of consumer ratings and for the evaluation of quality improvement activities in hospital outpatient settings.

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