• Title/Summary/Keyword: Reliability tools

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Development of an evaluation tool of quality of nursing care for gastrointestinal surgery patient (위.장관계 수술 환자간호의 질평가를 위한 도구개발)

  • Lee, Byeong-Suk;Park, Jeong-Ho;Jo, Hyeon
    • Quality Improvement in Health Care
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    • v.4 no.2
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    • pp.260-278
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    • 1997
  • Background : Quality of professional nursing care is the most essential factor for survival and growth of nursing profession. Then, nursing professionals have responsibility for the evaluation of quality of professional nursing care. The purpose of this study was to develope an evaluation tool of nursing care for patients received gastrointestinal surgery with general anesthesia. This study was a primary work for the developement of a computer program for the evaluation of nursing care. Methods : This study was done through some consecutive steps. They were (1) Developement of items for the tool (2) Developement of an evaluation tool of nursing care quality for the G-I surgery patient (3) Test of reliability and validity of the tool. Two groups of experts and expert pannels who had much experience of the QA and the care of G-I surgery patients participated for developement of the items. 85 nursing records were used for the test of reliability and validity of the developed tool. The evaluation tools were developed with two types of scoring, norm-referenced tool and criterion-referenced tool. Results The system of items for tool was evaluation area evaluation item-indicator. There were 7evaluation areas which contained 32evaluation items which contained 7lindicators. Evaluation areas 1, 2, 3, 4 were for the evaluation of process and 5, 6, 7 were for the evaluation of outcome of nursing care for G-I surgery patient. For the test of interrator reliability, correlation coefficients of each scores of items and intragroup correlation coefficients were calculated. The average correlation coefficients between two rators were 0.65, 0.54 and the intragroup correlation coefficient were 0.99 and 1.00 by the types of scoring. The Cronbach alpha coefficients of the tools were 0.54 and 0.46 by the types of scoring. The average content validity index of the items was 0.95 from 4 pairs of experts. Because there were significant differences between some scores of quality of nursing care of 3 general hospitals regardless of the types of scoring, the tools could be thought to have some construct validity. And also, there were significant correlations between some scores of quality of nursing care and admission days and admission days after surgery regardless of the types of scoring, the tools could be thought to have predictive validity. Conclusion In this study, the evaluation tool of nursing care was developed for the very specified group of patient, G-I surgery patient. And the items were developed and tested by the experts of nursing practice. Because of these reasons, it was supposed that the tool could be used effectively in nursing pratice. And the procedures for the development and the test of the evaluation tool of nursing care in this study were supposed to be used for the developement of other tools.

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Concurrent Validity, Inter-Tester and Intra-Tester Reliability of Goniometric Measurement of Active Elbow Range of Motion Using 4 Different Types of Measuring Instruments (주관절 가동범위 측정법에 대한 동시타당도와 신뢰도)

  • Current, Marion E.;Yi, Chung-Hwi
    • Physical Therapy Korea
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    • v.2 no.2
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    • pp.46-55
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    • 1995
  • The purpose of this study was to assess the concurrent validity and reliability of goniometric measurement of joint motion. Subjects were 40 healthy university students. Measurements were performed by 4 inexperienced physical therapy students. Four different instruments were used and three readings were taken with each instrument in random order making a total of 12 readings for flexion of the right elbow of each subject. Goniometers used were 1. universal 2. fluid-based goniometer/inclinometer 3. digital LCD goniometer 4. electronic goniometer/torsiometer. The results were as follows: Concurrent validity was highest (r= .94) with the universal and digital LCD tools. Interrater reliability (Pearson Product Moment Correlation) was good for each tool. Interrater reliability calculated by ICC(2,1) was highest (.96) with the tensiometer and lowest (.78) with the digital LCD goniometer. Intrarater reliability calculated by ICC was excellent (${\geq}.90$) for all instruments. These results show that concurrent validity, intrarater and interrater reliability are very good in the used of all four types of goniometers/inclinometer/tensiometer, even with inexperienced raters. These results confirm the almost universal reliance on hand held goniometers for joint measurement by physical therapists as being a reliable practice. Further research should be done clinically with actual patients.

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The study of development on CFT(Cognitive Function Test) in mild cognitive impairment (경도인지장애 대상자의 인지기능평가도구(CFT) 개발 연구)

  • Lee, Seon-Myeong;Ju, Eun-U;Song, Jin-Seok;Park, Sin-Jun;Kim, Heon-Mo;Jeong, Eun-Seung;Im, Chae-Ho;Son, Seong-Min;Ha, Hye-Jeong
    • Journal of Korean Clinical Health Science
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    • v.8 no.2
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    • pp.1426-1435
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    • 2020
  • Objective: This study aims to develop CFT, a screening test for dementia that can be conducted on patients with mild cognitive impairment or early dementia. Methods: This study was conducted on therapists working at occupational therapy hospital in Gyeongsangnam-do. The data collection period is two months from July to September 2020, and the research participants were briefed on the purpose, significance, and anonymity of the research in consideration of ethical issues. A total of 33 copies of the data were finally analyzed, excluding those containing insufficient answers and errors, by distributing 40 copies of the data. SPSS Data Access pack 8.0 was used for data analysis, Cronbach's α value was evaluated for internal consistency reliability of each item, and Pearson Correlation coeffient between the lower scales of the assessment tool was measured. Results: The Cronbach's α value of the CFT was shown as .892 and the reliability of the assessment paper was shown to be quite high. The Cronbach's α value for each item in the cognitive assessment tool was the highest at .899 in the subtraction item, with exercise control (mook Chi Pa) at 888, visual memory, plus .887. The correlation of each item of cognitive assessment tools was found to be most correlated with the number of sustained concentrates and word2 to .934; in the stop word-numeric item and visual memory to be .85; and in the addition to the auditory memory item .739. Conclusion: Therefore, this study developed cognitive evaluation tools that can distinguish the diversity and cognitive level of screening tests and clarify standards, which are different from the existing dementia screening tools in Korea. Furthermore, the cognitive assessment tools of this study can be verified by applying them to patients with mild cognitive impairment and early dementia, and the criteria for generalization can be established.

Temperature Control of an Oil Cooler System For Machine Tools Using a Fuzzy- Logic-Based Algorithm

  • Kim, Sun-Chul;Hong, Dae-Sun;Lee, Choon-Man;Kim, Gyu-Tak
    • 제어로봇시스템학회:학술대회논문집
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    • 2004.08a
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    • pp.1006-1011
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    • 2004
  • Recently, technical trend in machine tools is focused on enhancing of speed, accuracy and reliability. Such high speed usually results in thermal displacement and structural deformation. To minimize such thermal effect, most precision machine tools adopt high precision cooling system. This study proposes a temperature control for an oil cooler system using PI control with fuzzy logic. In a cooler system, the refrigerant flow rate is controlled by rotational speed of the compressor, where the outlet oil temperature is selected as the control variable. The fuzzy control rules iteratively correct PID parameters to minimize the error, difference between the outlet temperature and the reference one. Here, the ambient temperature is used as the reference one. To show the effectiveness of the proposed method, a series of experiments are conducted for an oil cooler system of machine tools, and the results are compared with the ones of a conventional PID control. The experimental results show that the proposed method has advantages of smaller overshoot and smaller steady state error.

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Analysis of Cutter and Design of Chip Processing System for Large Scale Machine Tool (대형 공작기계용 칩 처리시스템 설계 및 커터 해석)

  • Lee, Jong-Moon;Yang, Young-Joon
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.11 no.4
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    • pp.147-153
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    • 2012
  • The demands of the large scale machine tools, for instance, such as planomiller, turning machine, boring machine, NC machine, have been gradually increased in recent years. As the performances of machine tools and/or cutting tools are advanced, it is possible to perform high-speed and high-precision cutting works. The effective treatment of wet chip, which is discharged from cutting works, becomes very important problems. Therefore, this study is forced on the design of large scale machine tools using CATIA V5R18 and analysis of cutter, which is considered as essential equipment in large scale machine tools, using MSC.Nastran & MSC.Patran. Especially, the relations between tolerated load of cutter, driving horse power and rpm of driving shaft in chip processing system are investigated through analysis. As the results, the reliability of design could be improved by evaluating simulated numerical values, it showed that tolerated loads of supported part and edged part of cutter are 87,000N and 14,450N, respectively.

A Study on the Development of Diagnostic Tools for Sasang Constitutional Patterns (사상체질병증 진단도구 개발 연구)

  • Lee, Hyeri;Lee, Jun-Hee
    • Journal of Sasang Constitutional Medicine
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    • v.33 no.3
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    • pp.95-126
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    • 2021
  • Objectives The purpose of this study was to develop diagnostic tools for Sasang Constitutional patterns based on the middle classification of the Sasang Constitutional patterns. Methods Diagnosis and assessment indicators of Soeumin, Soyangin, Taeeumin, and Taeyangin patterns were extracted based on the 『Clinical Practice Guideline for Sasang Constitutional Medicine Symptomatology』 and 『Donguisusebowon』. An online survey was conducted on the 'importance of diagnosis and assessment indicators' by the Sasang Constitutional Medicine expert group. Results Based on the expert consultation results, the importance weight for each diagnosis and assessment indicators symptom was calculated, and the importance was ranked to develop diagnostic tools for Soeumin, Soyangin, Taeeumin, and Taeyangin patterns. Diagnostic tool consisted of 58 questions for Soeumin patterns, 68 questions for Soyangin patterns, 81 questions for Taeeumin patterns, and 42 questions for Taeyangin patterns. The final total score was calculated by reflecting each response score and the weight of each question. Conclusions The developed 'Diagnostic Tools for Sasang Constitutional patterns' can be used to make an effective and objective diagnosis in the clinical site. In the future, if the reliability and validity of these diagnostic tools are tested through clinical study, it will be possible to improve clinical applicability and contribute to standardization of diagnosis.

Development of Reliability Prediction Program for Tool Life (공구 수명의 신뢰성 예측 프로그램 개발)

  • 이수훈;김봉석;강태한;송준엽;강재훈;서천석
    • Proceedings of the Korean Society of Machine Tool Engineers Conference
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    • 2004.04a
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    • pp.317-322
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    • 2004
  • This paper deals with a prediction method of tool life in view of the reliability assessment. In this study, the flank wear was studied among multi-factors deciding the tool wear state. Firstly, tool lift was predicted by correlation between flank wear and cutting time, based on the extended Taylor tool life equation of turning data, including parameters of cutting speed, feed rate, and cutting depth. Secondly, each of cutting conditions of endmilling was equivalently converted to apply ball endmill data to the extended Taylor equation. The web-based reliability prediction program for tool lift is being developed as one of reliability assessment programs to for the machine tools.

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Reliability Estimation of Agricultural Machinery Components Based on QFD and Failure Mechanism Analysis (QFD와 고장메커니즘 분석에 의한 농기계부품의 신뢰성평가)

  • Jung, Won
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.33 no.4
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    • pp.209-217
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    • 2010
  • Reliability tools such as QFD and FMEA identify voice of customer related to product design, its use, how failures may occur, the severity of such failures, and the probability of the failure occurring. With these identified items, a development team can focus on the design process and the major issues facing the product in its potential use environment for the customer. The purpose of this research is to develop a reliability estimation process of agricultural machinery components using QFD, FMEA, and field failure data. Based on QFD method, customer requirements, engineering design elements and part characteristics were deployed. Using the field failure data, failures are investigated, and Weibull B10 life are estimated. This estimation process is useful for preparing the design input and planning the durability target.

A Reliability Prediction Method for Weapon Systems using Support Vector Regression (지지벡터회귀분석을 이용한 무기체계 신뢰도 예측기법)

  • Na, Il-Yong
    • Journal of the Korea Institute of Military Science and Technology
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    • v.16 no.5
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    • pp.675-682
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    • 2013
  • Reliability analysis and prediction of next failure time is critical to sustain weapon systems, concerning scheduled maintenance, spare parts replacement and maintenance interventions, etc. Since 1981, many methodology derived from various probabilistic and statistical theories has been suggested to do that activity. Nowadays, many A.I. tools have been used to support these predictions. Support Vector Regression(SVR) is a nonlinear regression technique extended from support vector machine. SVR can fit data flexibly and it has a wide variety of applications. This paper utilizes SVM and SVR with combining time series to predict the next failure time based on historical failure data. A numerical case using failure data from the military equipment is presented to demonstrate the performance of the proposed approach. Finally, the proposed approach is proved meaningful to predict next failure point and to estimate instantaneous failure rate and MTBF.

A Comparison of Reliability Evaluation Tools for Power System Operation (전력계통 운영측면에서의 신뢰도 평가 Tool의 비교분석)

  • Choi, J.S.;Kwon, J.J.;Tran, T.T.;Jeon, D.H.;Park, Y.S.;Choi, H.S.;Yoon, Y.T.;Cha, J.M.
    • Proceedings of the KIEE Conference
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    • 2005.11b
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    • pp.198-200
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    • 2005
  • This paper illustrates the pragram features of reliability evaluation on operation mode (operational planning and operating) of power system. The eighty eight relative reports and papers with seventeen kinds of reliability programs were Investigated in this paper. Two programs, PRA and ASSESS, were focused on the operation mode reliability evaluation program and the comparions of the two program features are introduced.

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