• 제목/요약/키워드: Quality improvement activities

검색결과 600건 처리시간 0.026초

119수난구조대의 현황 및 발전 방안 (A study on Development way of 119 drowning rescue)

  • 정지연;황희진;김광석
    • 한국응급구조학회지
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    • 제9권1호
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    • pp.33-41
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    • 2005
  • In Korea, the number of those who were drowned of the dead by 'accident and injury' ranked the third of causes of death is over 2,300 people a year. So the Ministry of Home Affairs arranged '119 drowning rescue team' at frequent occurrence regions of drowning temporarily as a part of drowning rescue measures during every summer season and made perfection more perfect for safety control and rescue services at prevention areas of accidents. However, considering that the number of professional drowning rescuers is small and it is managed temporarily only for summer, the placement of special rescue team equipped with professional education and qualification should be ensured and quick lifesaving and first-aid treatment should be conducted, since much time is required to arrive at accident place after receiving accident report at 119 office, rapid rescue and relief have not been achieved. Therefore, the placement of special rescue team should be increased for reducing the personal damages by considering regional characteristics and in particular placement of more drowning rescue teams in Jeonnam region which has more seas and rivers is needed This study aims at analyzing relief activities and statistics to cope with water accidents and achieve qualitative growth of first-aid services, examining actual conditions of water accident relief team and personnel assignment, providing first-aid services of good quality and establishing improvement methods to increase operation of relief team.

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수정된 강제-유도운동치료와 양측성 상지훈련이 만성 뇌졸중 환자의 상지 수행 능력에 미치는 영향 (The Effects of Modified Constraint-Induced Movement Therapy and Bilateral Arm Training on the Upper Extremity Performance of Individuals with Chronic Hemiparetic Stroke)

  • 양성화;이완희;이경숙
    • The Journal of Korean Physical Therapy
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    • 제23권5호
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    • pp.65-72
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    • 2011
  • Purpose: The intention of this study was to investigate the effects of modified constraint-induced movement therapy (mCIMT) with bilateral arm training (BAT) on the motor performance and daily activity performance of individuals with chronic hemiparetic stroke. Methods: Sixteen subjects one year after stroke participated in this study with a control group; the pretest-posttest method was used. The subjects were randomly allocated into two groups: combination of bilateral arm training and modified constraint-induced movement therapy (n=8), and modified constraint-induced movement therapy (n=8). The mCIMT group received therapy for 90 minutes in 3 sessions per week over a period of 4 weeks. The patients receiving a combination of mCIMT and BAT were treated for the same period and frequency. The results were evaluated using the Fugl-Meyer Assessment, Action Research Arm Test (ARAT), and Motor Activity Log-Amount of Use, and Quality of Movement (MAL-AOU, QOM) assessment tools. Results: The Fugl-Meyer Assessment showed that hand and wrist performance improved significantly more in the mCIMT group than in the Combination group (p<0.05). Result from the ARAT assessment showed greater scores for gross movement in the combined group than in the mCIMT group (p<0.05). The MAL-AOU showed that there was greater improvement in the combined group than in the mCIMT group (p<0.05). Conclusion: The forced use of the more affected side can be important for the enhancement of upper extremity performance for chronic hemiparetic stroke patients during their daily activities.

사이버대학에서 이러닝콘텐츠 사용자 인터페이스의 질 개선을 위한 사용성 평가연구 (A Usability Evaluation Study for Improving the Quality of e-Learning Contents User Interface in a Cyber University)

  • 심화영;송해덕
    • 컴퓨터교육학회논문지
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    • 제17권1호
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    • pp.13-23
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    • 2014
  • 사이버대학에서 이러닝 코스개발과정에서 질 관리를 위하여 고려할 핵심적인 사항중의 하나는 콘텐츠의 사용자 인터페이스(User Interface)이다. 사용자 인터페이스는 학습자가 불편 없이 효율적이고 사용하기 쉽게 설계 될수록 학습자의 학습을 도울 수 있다는 점에서 중요성을 갖는다. 사용자 인터페이스의 사용성의 중요성에도 불구하고, 사용성 설계요소관점에서 이러닝 콘텐츠 UI를 평가한 연구들은 거의 없는 실정이다. 따라서 본 연구의 목적은 사용성 관점에서 이러닝 콘텐츠 사용자 인터페이스 설계 시 고려해야 할 요소들을 탐색하는데 있다. 이를 위하여 서울소재 OO사이버대학의 이러닝 콘텐츠에 대하여 사용성 평가를 실시하여 사용자관점에서 이러닝 콘텐츠의 질 관리 개선을 위한 시사점을 제안하고자 한다.

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네덜란드 디자인 그룹 ′Droog Design′에 관한 연구 (Droog Design ; the mentality and the activities)

  • 김유진;문무경
    • 디자인학연구
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    • 제15권2호
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    • pp.157-168
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    • 2002
  • 산업사회 이후 물질문명의 도래와 급속한 커뮤니케이션의 발전으로 다양한 변화를 수용해야만 하는 현대 디자인에 있어서, 여전히 보편적 진리와 원칙으로 고정된 디자인 사고로는 디자이너뿐만 아니라 새로운 감수성을 수용하려는 인간에게 더 이상 새로운 디자인 가치를 부여하기에는 그 한계를 드러내고 있다. 급속한 변화에 민감해진 인간은 계속해서 탄생되는 인공물과의 새로운 관계를 요구하고 있는 것이다. 'Droog Design[드록디자인]'은 네덜란드 젊은 디자인그룹으로 사물에 대한 기존의 기능은 물론 개념들을 재-사고 및 재-정의하고, 실험적이고 경험적인 디자인 접근으로 근래에 많은 주목을 받고 있는 디자인 그룹이다. 'Droog Design'은 지금까지의 디자인을 통해 삶의 질적 향상을 가져왔지만 그와 동시에 물질 문명의 폐단에 따른 책임과, 인간과 사물의 관계 개선이라는 측면에서 새로운 디자인 사고방식(mentality)를 제창하고 있다. 특히 조형을 다름에 있어서 인공물이 인간과의 관계는 단순히 수단으로서의 관계뿐만 아니라 감성적이고 경험적인 기능으로서의 관계를 갖기를 요구하고 있다. 'Droog Design'의 디자인 사고와 그 개념적 접근 방식은 오늘의 디자인에 신선한 자극이 되고 있다.

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Soy Oligosaccharides and Soluble Non-starch Polysaccharides: A Review of Digestion, Nutritive and Anti-nutritive Effects in Pigs and Poultry

  • Choct, M.;Dersjant-Li, Y.;McLeish, J.;Peisker, M.
    • Asian-Australasian Journal of Animal Sciences
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    • 제23권10호
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    • pp.1386-1398
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    • 2010
  • Soybean contains a high concentration of carbohydrates that consist mainly of non-starch polysaccharides (NSP) and oligosaccharides. The NSP can be divided into insoluble NSP (mainly cellulose) and soluble NSP (composed mainly of pectic polymers, which are partially soluble in water). Monogastric animals do not have the enzymes to hydrolyze these carbohydrates, and thus their digestion occurs by means of bacterial fermentation. The fermentation of soybean carbohydrates produces short chain fatty acids that can be used as an energy source by animals. The utilization efficiency of the carbohydrates is related to the chemical structure, the level of inclusion in the diet, species and age of the animal. In poultry, soluble NSP can increase digesta viscosity, reduce the digestibility of nutrients and depress growth performance. In growing pigs, these effects, in particular the effect on gut viscosity, are often not so obvious. However, in weaning piglets, it is reported that soy oligosaccharides and soluble NSP can cause detrimental effects on intestinal health. In monogastrics, consideration must be given to the anti-nutritive effect of the NSP on nutrient digestion and absorption on one hand, as well as the potential benefits or detriments of intestinal fermentation products to the host. This mirrors the needs for i) increasing efficiency of utilization of fibrous materials in monogastrics, and ii) the maintenance and improvement of animal health in antibiotic-free production systems, on the other hand. For example, ethanol/water extraction removes the low molecular weight carbohydrate fractions, such as the oligosaccharides and part of the soluble pectins, leaving behind the insoluble fraction of the NSP, which is devoid of anti-nutritive activities. The resultant product is a high quality soy protein concentrate. This paper presents the composition and chemical structures of carbohydrates present in soybeans and discusses their nutritive and anti-nutritive effects on digestion and absorption of nutrients in pigs and poultry.

6시그마 활동을 통한 대-중소기업 파트너쉽 개선 사례연구 (The Case Study on the Improvements of Partnership Between Large and Small/Medium-sized Companies via Six Sigma)

  • 김금숙
    • 한국산업정보학회논문지
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    • 제13권5호
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    • pp.66-77
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    • 2008
  • 본 연구의 목적은 6시그마를 성공적으로 적용하고 있는 기업을 대상으로 6시그마 적용을 통한 대-중소기업 파트너쉽 개선사례를 조사하는 것이다. 조사방법은 구미공단 기업 중 6시그마를 성공적으로 적용한 대기업 1곳과 협력업체 5곳을 사례기업으로 선정하여, MBB와 6시그마 추진실무자들을 면담하였다. 조사결과, 대기업에서 6시그마가 도입, 확산기를 거쳐 성공적으로 정착된 후 이러한 성공경험이 중소 협력업체로 전파되어 여러 협력업체들로 하여금 6시그마를 도입, 추진하게 하였다. 그러나, 중소기업의 특성상 6시그마 적용에 여러 가지 애로에 부딪치게 되는데, 이러한 애로사항에 대해 대기업의 지속적인 교육과 인프라 지원, 과제해결 지도 등 전폭적 지원으로 조사대상 협력 중소기업들은 6시그마 실행문제들을 상당부분 극복하고 가시적 성과를 얻고 있는 것으로 나타났다. 그 결과 원가절감, 부품의 품질향상, 협력업체의 사내 전문가 양성과 혁신역량강화 등의 효과를 가져왔고 대-중소기업간 파트너쉽 향상에도 큰 성과를 가져온 것으로 평가된다.

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재활용기업의 처리공정에 따른 경제성 분석: 폐합성수지 산업을 중심으로 (Process Choice and Firm Performance in the Recycling Industry: An Empirical Investigation of Plastic Recycling Firms in Korea)

  • 이윤숙;이남경;신호정
    • 경영과학
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    • 제31권1호
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    • pp.1-15
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    • 2014
  • As the scarcity of natural resources has become apparent, the recycling industry has emerged as a promising one for its growth potential. Yet, the recycling industry still remains undeveloped and inefficient for various reasons. In this study, we focus on firms' recycling processes to understand the current status of recycling firms' value creation activities. With respect to the adopted recycling processes, we empirically investigate the differences in firm characteristics and firm performance. We use the data from Keco (Korea Environment Cooperation) which annually conducts a survey of recycling firms in Korea. We exclusively consider the whole group of plastic recycling industry in order to control for a possible bias in firm performance, stemming from the heterogeneity in processing and recycling of materials other than plastics. We review the descriptive statistics from the sample firms and conduct a series of hierarchical regression analyses. The results show that most of the firms in this industry adopt physical transformation processes with a low-level technology. These firms with physical transformation processes are smaller in size and produce entry level items which do not secure higher margins. The results indicate that the recycling industry largely comprises low value added firms which lack economies of scale and resources for R&D. For the stable growth of the industry, recycling firms must create sustainable values through implementation of technology-driven processes and improvement in product quality. In addition, the government should help build a reliable reverse logistic network, lower the entry barriers, and provide necessary funding for the SMEs in the recycling industry.

유산균 발효에 의한 톳 (Hizikia fusiforme) 추출액의 항산화 및 항염증 활성 증가 (Enhancement of the Antioxidant and Anti-inflammatory Activity of Hizikia fusiforme Water Extract by Lactic Acid Bacteria Fermentation)

  • 송호수;엄성환;강영미;최종덕;김영목
    • 한국수산과학회지
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    • 제44권2호
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    • pp.111-117
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    • 2011
  • We previously reported that fermentation by Lactobacillus brevis LB-20 isolated from Kimchi resulted in improvement of the sensory quality of Hizikia fusiforme water extract. This study was conducted to evaluate the possible application of lactic acid bacteria fermentation to improve the functional qualities of H. fusiforme extract. L. brevis LB-20 was inoculated and cultivated in H. fusiforme extract. The antioxidant and anti-inflammatory activities of extract were then assayed both before and following fermentation for two days. Antioxidant activity was determined by assaying levels of radical scavenging activity against 1,1-diphenyl-2-picrylhydrazyl (DPPH), hydroxyl, superoxide, and alkyl radical. Lactic acid bacterial fermentation of H. fusiforme extract resulted in enhancement of antioxidant activity. The greatest enhancement of antioxidant activity was seen in the hydroxyl radical scavenging assay that incorporated 0.5 mg/mL of raw and fermented H. fusiforme extract. Fermented extract exhibited greater (21.95%) inhibition of nitric oxide synthesis than did raw extract (14.66%) at a concentration of 1 mg/mL. The fermented extract exerted its potent anti-inflammatory activity via attenuation of expression of inflammation-related cytokine proteins (TNF-${\alpha}$ and iNOS).

RN-BSN 과정 학생의 간호실무 수행능력 분석 (Analysis of RN-BSN Students' Clinical Nursing Competency)

  • 손정태;박명화;김혜령;이우숙;오가실
    • 대한간호학회지
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    • 제37권5호
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    • pp.655-664
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    • 2007
  • Purpose: The purpose of this study was to investigate RN-BSN students' clinical nursing competency in order to establish baseline data for developing nursing competency based clinical education for RN-BSN students. Method: A survey of 1,453 RN-BSN students from 21 nursing schools was conducted using a self administered questionnaire. Result: The mean score of the clinical nursing competency was 2.93. The scores for competency were shown as 2.91 for nursing management, 2.94 for developing professionalism & legal implementation, 2.95 for critical thinking, 2.96 for teaching & leadership, and data collection, basic nursing care, and communication were above 3.00. The items perceived as insufficient competency were physical examination and observation & monitoring in data collection, cardiopulmonary resuscitation, psycho-social care, spiritual care, hospice in basic nursing care, application of knowledge and theory, formulating nursing diagnosis, nursing care planning in critical thinking, education material development, leadership, delegation in teaching and leadership, analysis of organization, planning, infection control, role & job description, evaluation of nursing activities in nursing management, quality improvement, and research in developing professionalism and legal implementation. Conclusion: This study will contribute to developing a nursing competency based on clinical education for RN-BSN students who have various education needs and clinical backgrounds.

주요 간호활동의 건강보험 수가 적절성에 관한 연구 (A Study on the Appropriateness of Health Insurance Fee in Main Nursing Practices)

  • 김윤미;김경숙;박미미;김인숙;김미영
    • 임상간호연구
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    • 제23권2호
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    • pp.236-247
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    • 2017
  • Purpose: This study was to present improvement strategy and the problems of the nursing fee in national health insurance system. Methods: A total of 23 nursing activities performed by nurses were selected. Data were collected the relative value score and criteria of the Health Insurance Review & Assessment Agency. Sixty clinical nursing experts panels were composed and nursing time surveyed self-reported method. The actual fee was calculated through the nursing time, relative value score and actual labor costs. Nextly, the labor costs analyzed was compared with that in the national health insurance. Results: Although the practices were mainly performed by the nurse, other occupations have been recorded as main practitioners and the time of the nursing activity is partially improperly reflected. Additionally, although the nurse practiced mainly in glucose (semi-quantitative) test, it was confirmed that the principal practitioner was described as a clinical pathologist. The the labor cost gap was estimated that is 9.3 times (median) and 11.9 times (average) in this analysis. Conclusion: This study suggests that it is necessary to legislate a policy that can improve the quality of clinical nursing by reinforcing the appropriateness and improving nursing fee through reflection of the actual time spent for nursing care.