• Title/Summary/Keyword: 근거중심 프로토콜

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Evidence-based Clinical Practice Protocol of Physical Restraints by Adaptation Process for Patients in a Geriatric Hospital (요양병원 입원 노인을 위한 신체 억제대 프로토콜의 수용개작)

  • Park, Mi Hwa;Sohng, Kyeong-Yae
    • The Korean Journal of Rehabilitation Nursing
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    • v.19 no.2
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    • pp.118-127
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    • 2016
  • Purpose: This study was to develop an evidence-based clinical practice protocol of physical restraints by adaptation process for patients with a geriatric hospital. Methods: Protocol adaptation process was conducted in accordance with manual for guideline adaptation version 1.0 by ADAPTE collaboration. Results: The adapted physical restraint protocol was consisted of 3 domains and 37 recommendations. The number of recommendations in each domain were: 7 nursing assessment, 19 nursing intervention, and 11 nursing evaluation. More than half (56.8%) of the recommendations were rated as grade B, 37.8% as grade C, and 5.4% were rated as grade D. Conclusion: The adapted physical restraint protocol is expected to contribute as an evidence-based clinical practice protocol for healthcare workers in geriatric hospitals for reducing and improving efficiency of appropriate physical restraints use.

A Study on Concept of Privacy in Ubiquitous Computing Environment (유비쿼터스 컴퓨팅 환경 하에서의 프라이버시 개념에 관한 연구)

  • Gang, Jang-Muk;Moon, Song-Chul;Kim, Hyun-Soo
    • 한국IT서비스학회:학술대회논문집
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    • 2005.11a
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    • pp.121-129
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    • 2005
  • 미래의 기술 혁명은 유비쿼터스 컴퓨팅 환경을 만들어낼 것이다. 본 연구는 유비쿼터스 컴퓨팅이 네트워크와 연계되면서 더욱 복잡해지고 있으나, 대부분의 시스템 중심의 연구가 단순한 '성능' 또는 '효율성'에만 치우져있는 문제점을 지적한다. 예를 들면, 프라이버시 관련 연구들은 개인정보의 처리에 있어서 프로토콜과 암호학적 기술에만 초점이 맞추어져 있다. 둘째로 본 연구에서는 법은 인간의 관리 아래에 기술을 둘 수 있거나 조정할 수 있다는 법관련 연구자들이 가진 고찰의 문제점을 지적한다. 따라서 오늘날 문제의 복잡성으로 인하여 새로운 프라이버시 관련 연구는 법, 기술, 경제, 규범 등에 대한 통합적인 사고가 필요한 종합적인 해결방안에 근거해야 한다. 본 연구는 유비쿼터스 컴퓨팅 환경에서의 프라이버시에 대하여 분석하고 프라이버시와 관련된 문제에 대한 종합적인 보호에 대해 분석할 것이다. 본 연구를 통해 유비쿼터스 컴퓨팅 환경에 프라이버시에 관한 새로운 고찰을 제시하고 유비쿼터스 컴퓨팅 환경에 영향을 받은 프라이버시의 개념을 재설정하는 메커니즘을 도출한다.

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An Analysis on Data Throughput of PicoCast Affected by Piconet Mutual Interference (피코넷 상호 간섭이 PicoCast 데이터 전송량에 미치는 영향 분석)

  • Chung, Jae-Kyong;Jeon, Sang-Yeop;Kim, Myoung Jin
    • Journal of the Institute of Electronics and Information Engineers
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    • v.52 no.2
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    • pp.40-49
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    • 2015
  • PicoCast is a recently proposed short-range wireless communications technology that supports both low rate sensor/control data and high speed data such as voice and video traffic in the personal space, defined by the user-centric space of radius tens of meters, with one unified protocol. When the users are in the same area, personal spaces defined by each user may overlap. Since these PicoCast piconets may simultaneously operate, mutual interference is unavoidable. It is necessary to investigate the effect of mutual interference on data transmission and to conduct research on minimizing the interference among PicoCast devices. In this paper we analyze the effect of mutual interference between PicoCast piconets based on data throughput using OPNET network simulator. We have implemented the PicoCast protocol and measured the average throughput and packet loss rate.

Review of Studies Using a Rhythm Task Intervention and the Rationale for its Formulation (국내 리듬 중재 연구의 중재 구성 및 논거에 대한 고찰)

  • Chong, Hyun Ju;Lim, Jeong Hyeon;Hwang, Soo Yeon
    • Journal of Music and Human Behavior
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    • v.15 no.1
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    • pp.95-118
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    • 2018
  • With the recent emphasis on evidence-based research and practice, the field of music therapy has called for rigorous reviews of the scientific data and for therapeutic rationales for research procedures. The purpose of this study was to review studies that used a rhythm task as a therapy intervention in terms of whether they provided a rationale for the components related to the intervention. The components included activity rationale, music rationale, intervention validity, intervention format (individual or group), intervention development (contour), duration, and intervention provider. A total of 41 studies were selected: 22 studies were implemented by music therapists and 19 by professionals in other related fields. In terms of seven assessment categories, only 10 studies were found to report more than four items which are related to a rationale of interventions. The 10 studies identified were further examined to determine if their intervention rationale differed depending on whether the study included a researcher-formulated intervention or an existing music therapy protocol. Of the 10 studies, six used a researcher-formulated rhythm intervention, and four used an existing music therapy protocol. Those studies that used an existing music therapy protocol also provided a clear rationale for music selection, whereas those that used a researcher-formulated rhythm task tended to provide an activity rationale. The results of this study suggest that researchers need to be clearer about their interventions and provide an evidence-based rationale for why and how they use a rhythm task.

IoT Based Office Environment Improvement Plan - Focusing on Office Relocation Applying Block Stacking Principle - (사물인터넷 기반 사무환경개선방안 -블록 스태킹 원리를 적용한 사무실 재배치를 중심으로-)

  • Park, Kwang-Chul;Suh, Dong-Hyok
    • The Journal of the Korea institute of electronic communication sciences
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    • v.15 no.1
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    • pp.61-70
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    • 2020
  • In this study, the IOT-based desk layout method was proposed to complement the existing seating method and to improve the work efficiency. The IoT system for the desk layout needs determining the function, type and network protocol of the sensor to find out the working status of the desk to reasonably assist the worker's seat placement. A collection method was proposed. The algorithm used in Block Stacking was used when deciding how to allocate seats using the acquired data. As a result, we could suggest an arithmetic basis for rational desk layout in IoT environment and show that it can be applied to an advanced flexible seating system based on working type in addition to the preferences of employees in the future.

Development of a Standardized Education Protocol for Peritoneal Dialysis Patients (복막투석 환자를 위한 표준화된 간호교육 프로토콜의 개발)

  • Kang, Jeong-Hee;Kang, Ji-Yeon;Lee, Young-Ock
    • Journal of Korean Critical Care Nursing
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    • v.4 no.2
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    • pp.47-60
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    • 2011
  • Purpose: The purpose of this study was to develop a standardized education protocol for peritoneal dialysis patients. Methods: First, the demand for education was investigated from the 27 patients on peritoneal dialysis and 16 guardians, and later, the standardized nursing education protocol has been developed through the comprehensive literature review and the critical analysis of the related studies. Contents validity and applicability have been tested through the expert group survey. Results: The standardized peritoneal dialysis nursing education protocol with 9 areas and 20 items has been developed. The content validity for timing and duration, contents, method, and place of education proposed by the protocol were all above than 0.8. In terms of the applicability of the protocol, the experts scored between 4.20 to 4.93 for all items except one. The item on home visit education acquired the lowest applicability score, because there might exist potential restrictions in visiting patient's home. Conclusion: The standardized education protocol developed in this study turned out to be adequate by representing high content validity for all items and the applicability also was high except the item on home visit education. Further researches to test the effects of this education protocol should be done.

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Effects of Family-Centered Intervention for Children with Autism Spectrum Disorder in South Korea: A Systematic Review - Focusing on Parent Education and Parent Coaching - (국내 자폐스펙트럼장애 아동에 대한 가족 중심 중재 효과: 체계적 고찰 - 부모 교육 및 부모 코칭 중심으로 - )

  • Choi, Yoon-Mi;Yoo, Eun-Young
    • The Journal of Korean Academy of Sensory Integration
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    • v.21 no.3
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    • pp.65-78
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    • 2023
  • Objective : In this study, we aimed to investigate the effectiveness of family-centered intervention conducted with caregivers of children with autism spectrum disorder (ASD) in South Korea through a systematic literature review. Methods : Previous studies published from 2011 to 2021 were searched through RISS, KISS, and DBpia. The search terms applied included "autism spectrum" OR "general developmental disorder" OR "high-functioning autism" OR "Asperger's" AND "parent education" OR "family-centered intervention" OR "parent coaching" OR "parent training" OR "family participation." A total of 11 experimental studies were chosen based on the selection criteria. Results : According to the findings on the general characteristics of the study participants, intervention strategies, and effects of the intervention, it was observed that the majority of children with ASD who participated in the study were preschool-aged, and the majority of participating caregivers were mothers. The effects of family-centered interventions were evident in both children and parents. In children, the most significant effects were observed in interaction and communication skills. In parents, a reduction in parenting stress and an improvement in parenting efficacy were observed. The intervention strategies employed in the study varied, with sensory integration intervention, responsive communication, and interaction-centered intervention being the most commonly used, followed by developmental-centered intervention, positive behavior support (PBS), and parent-mediated intervention based on pivotal response treatment (PRT). Conclusion : The results of this study are significant in that they confirm that family-centered intervention is effective not only in improving the functioning of children with autism spectrum disorder, but also in reducing parenting stress and enhancing parenting efficacy, and provide evidence for clinical use.

Standard Performance Measurements of GE $Advance^{TM}$ Positron Emission Tomography (GE $Advance^{TM}$ 양전자방출단층촬영기의 표준 성능평가)

  • Jeong, Ha-Kyu;Kim, Hee-Joung;Son, Hye-Kyung;Bong, Jung-Kyun;Jung, Hai-Jo;Jeon, Tae-Joo;Kim, Jae-Sam;Lee, Jong-Doo;Yoo, Hyung-Sik
    • The Korean Journal of Nuclear Medicine
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    • v.35 no.2
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    • pp.100-112
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    • 2001
  • Purpose: The purpose of this study was to establish optimal imaging acquisition conditions for the GE $Advance^{TM}$ PET imaging system by performing the acceptance tests designed by National Electrical Manufacturers Association (NEMA) protocol and General Electric Medical Systems (GEMS) test procedures. Materials and Methods: Performance tests were carried out with $^{18}FDG$ radioactivity source and phantoms by using a standard acquisition mode. Transaxial resolution and scatter traction tests were performed with a line source and axial resolution with a point source, respectively. A cylindrical phantom made of polymethylmethacrylate (PMMA) was used to measure sensitivity, count rate losses and randoms, uniformity correction, and attenuation inserts were added to measure remaining tests. The test results were acquired in a diagnostic acquisition mode and analyzed mainly on high sensitivity mode. Results: Transaxial resolution and axial resolution were measured as average of 4.65 mm and 3.98 mm at 0 cm, and 6.02 mm and 6.71 mm at 20 cm on high sensitivity mode, respectively. Average scatter fraction was 9.87%, and sensitivity was $225.8kcps/{\mu}Ci/cc$ of trues. Activity at 50% deadtime was $4.6{\mu}Ci/cc$, and the error of count rate correction at that activity was from 1.49% to 3.83%. Average nonuniformity for total slice w3s 8.37%. The accuracy of scatter correction was -0.95%. The accuracies of attenuation correction were 5.68% for air, 0.04% for water and -6.51% for polytetrafluoroethylene (PTFE). Conclusion: The results satisfied most acceptance criteria, indicating that the GE $Advance^{TM}$ PET system can be optimally used for clinical applications.

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The Effects of Telerehabilitation Based Occupational Therapy on Executive Function, Activities of Daily Living, and Occupation Performance of People With Stroke (원격재활 기반 작업치료가 뇌졸중 환자의 실행기능, 일상생활수행, 작업수행에 미치는 영향)

  • Park, Seong-Sun;Kim, Su-kyung;Yoo, Doo-Han;Kim, Hee
    • Therapeutic Science for Rehabilitation
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    • v.10 no.1
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    • pp.115-127
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    • 2021
  • Objective : The purpose of this study was to investigate the effect of telerehabilitation on executive function, activities of daily living, instrumental activities of daily living, and occupational performance in stroke patients. Methods : The participants of this study were 30 outpatients with stroke residing in community. Both groups underwent the intervention 3 times a week for a total of 18 sessions. For the experimental group telerehabilitation was administered at home to only fifteen participants in the experimental group schedule, and it was supervised by the caregiver. Fifteen people in the control group underwent only the traditional occupational therapy. Executive function and instrumental activities of daily living were evaluated using the Korean version of the Executive Function Performance Test (EFPT-K). The basic daily activities of living were assessed using the Modified Barthel Index (MBI). The Canadian Occupational Performance Measure (COPM) was used to evaluate the client-centered occupational performance. Results : After the intervention, the experimental and control groups showed improvements in executive function, instrumental activities of daily living and occupational performance. Occupational performance improved more significantly in the experimental group than in the control group. Conclusion : Telerehabilitation and occupational therapy positively affect executive function, instrumental activities of daily living and occupational performance of patients with stroke. We suggest that telerehabilitation combined with occupational therapy is more effective in improving the occupational performance of stroke patients.

A Systematic Review of Modified Constraint- Induced Movement Therapy in Children With Hemiplegic Cerebral Palsy (뇌성마비 유형 중 편마비 아동을 위한 수정된 강제유도 운동치료의 효과에 대한 체계적 고찰)

  • Hong, So-Young;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.10 no.2
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    • pp.11-22
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    • 2012
  • Objective : This research investigated the intervention effects, protocol of modified constraint-induced movement therapy in children with hemiplegic cerebral palsy. Methods : For the key words of a database search, "Cerebral Palsy", "Hemiplegia", "Constraint Induced Movement Therapy", "modified Constraint Induced Movement Therapy" were used. We examined papers published in journals from January 2001, when the modified Constraint Induced Movement Therapy was first suggested, to May 2011, using PubMed, Medline. Ovid. Results : A total of 10 papers were analyzed and results of modified Constraint Induced Movement Therapy were an effective therapeutic method to improve motor function, quality of movement and that they also increased the frequency of functional use of the affected hands of hemiplegic cerebral palsy. Conclusion : This paper conducted a systematic review of the research literature reporting on the effects of modified constraint-induced movement therapy in children with hemiplegic cerebral palsy. Analysis of the fewer number of papers, there was limitation that we consider studies at all levels of evidence. However the restraint methods should be decided according to the characteristics of the individually and apply a variety of therapeutic activities, there is positive support for the use of modified constraint-induced movement therapy to improve the recovery of the paretic upper extremity with cerebral palsy.

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