• 제목/요약/키워드: Assessment Framework

검색결과 974건 처리시간 0.031초

기후변화대응 물관리를 위한 자연기반해법의 개념적 체계와 정책적 과제 (Nature-based Solutions for Climate-Adaptive Water Management: Conceptual Approaches and Challenges)

  • 박유진;오재일
    • 한국물환경학회지
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    • 제38권4호
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    • pp.177-189
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    • 2022
  • Nature-based Solutions (NbS) are defined as practical and technical approaches to restoring functioning ecosystems and biodiversity as a means to address socio-environmental challenges and provide human-nature co-benefits. This study reviews NbS-related literature to identify its key characteristics, techniques, and challenges for its application in climate-adaptive water management. The review finds that NbS has been commonly used as an umbrella term incorporating a wide range of existing ecosystem-based approaches such as low-impact development (LID), best management practices (BMP), forest landscape restoration (FLR), and blue-green infrastructure (BGI), rather than being a uniquely-situated practice. Its technical form and operation can vary significantly depending on the spatial scale (small versus large), objective (mitigation, adaptation, naturalization), and problem (water supply, quality, flooding). Commonly cited techniques include green spaces, permeable surfaces, wetlands, infiltration ponds, and riparian buffers in urban sites, while afforestation, floodplain restoration, and reed beds appear common in non- and less-urban settings. There is a greater lack of operational clarity for large-scale NbS than for small-scale NbS in urban areas. NbS can be a powerful tool that enables an integrated and coordinated action embracing not only water management, but also microclimate moderation, ecosystem conservation, and emissions reduction. This study points out the importance of developing decision-making guidelines that can inform practitioners of the selection, operation, and evaluation of NbS for specific sites. The absence of this framework is one of the obstacles to mainstreaming NbS for water management. More case studies are needed for empirical assessment of NbS.

ICF 모델 기반 신경계 환자 물리치료 평가 도구 사용 조사 (Evaluation Tools for Patients with Neurologic Disorders Based on the ICF Model: A Survey of Korean Physical Therapists)

  • 이지아;우영근;원종임;김수진
    • PNF and Movement
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    • 제20권3호
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    • pp.359-370
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    • 2022
  • Purpose: Physical therapists are required to properly choose the most appropriate treatment for each patient within the framework of the International Classification of Functioning, Disability, and Health (ICF model). The aims of this study were to determine whether neurological physical therapists in clinical settings in South Korea know about the ICF model and to investigate the current trends of outcome measures (OMs) used by them. Methods: Two hundred and one physical therapists who worked with patients with neurological disorders participated in this study. The survey was conducted via e-mail and asked about commonly used OMs and the considerations for selecting OMs. Results: All physical therapists involved in this study responded completely, and 45.8% of participants learned about the ICF model, while 37.3% understood the detailed information related to the ICF model. The rest of the participants did not know or just heard about the ICF model. The most frequently used tools at the body function/structure level were the Range of Motion (98%), Manual Muscle Test (97%), Berg Balance Scale (83.1%), and Modified Ashworth Scale (70.6%) when allowing repetition. At the activity level, the 10-meter walk test (71.1%), 6-minute walk test (54.2%), and Functional Ambulatory Category (43.3%) were used, while the Activity-Specific Balance Confidence Scale (23.9%) was used at the participation level. There was a positive relationship between the number of tools used and years of work, as well as the level of understanding of the ICF model. Conclusion: The results of this study suggest that it is necessary to learn the ICF model in a clinical setting. In addition, the medical system needs to be modified to encourage physical therapists in South Korea to use proper OMs within the ICF model.

혼합현실 기반 중증외상 처치 시뮬레이션 교육 요구 조사: 군병원 간호사 대상 포커스 그룹 인터뷰 적용 (Educational needs of severe trauma treatment simulation based on mixed reality: Applying focus group interviews to military hospital nurses)

  • 장선미;황신우;정유미;정은영
    • 한국간호교육학회지
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    • 제27권4호
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    • pp.423-435
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    • 2021
  • Purpose: The purpose of this study is to identify the educational needs of a severe trauma treatment simulation program based on mixed reality which combines element of both virtual reality and augmented reality. Methods: Focus group interviews were conducted with ten military hospital nurses on February 4 and 5, 2021. The collected data were analyzed using a qualitative content analysis. As a framework for data analysis, the educational needs were clustered into the following four categories: teaching contents, teaching methods, teaching evaluation, and teaching environment. Results: The educational needs for each category that emerged were as follows: three subcategories including "realistic education reflecting actual clinical practice" and "motivating education" for teaching contents; five subcategories including "team-based education," "repeated education that acts as embodied learning," and "stepwise education" for teaching methods; six subcategories including "debriefing through video conferences," "team evaluation and evaluator in charge of the team," "combination of knowledge and practice evaluation" for teaching evaluation; six subcategories including "securing safety," "similar settings to real clinical environments," "securing of convenience and accessibility for learners," and "operating as continuing education" for teaching environment. Conclusion: The findings of this study can provide a guide for the development and operation of a severe trauma treatment simulation program based on mixed reality. Moreover, it suggests that research to identify the educational needs of various learners should be conducted.

아로마테라피가 산전 및 산후 피로에 미치는 영향: 체계적 문헌고찰 및 메타분석 (Fatigue relief by aromatherapy use in prenatal and postnatal women: a systematic review and meta-analysis)

  • 송지아;양혜진
    • 여성건강간호학회지
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    • 제28권2호
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    • pp.87-99
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    • 2022
  • Purpose: The purpose of this systematic review was to examine aromatherapy interventions for prenatal and postnatal women, and to determine the effectiveness of these interventions on fatigue. Methods: Six national and international databases were reviewed to retrieve and collect studies published up to September 7, 2021, describing randomized controlled trials and controlled clinical trials of aromatherapy interventions for prenatal and postnatal women's fatigue. Of the 323 articles initially identified, 64 duplicates were excluded and 259 were screened. After further excluding 216 articles not related to PICO framework, 10 were selected for review. Two reviewers independently selected studies and conducted data extraction and quality appraisal using Cochran's Risk of Bias and Risk of Bias Assessment Tool for Non-randomized Studies. Results: The quality of the 10 selected studies was overall satisfactory. A meta-analysis of three studies showed that aromatherapy with lavender oil produced a 0.75-point reduction in postnatal mothers' fatigue when compared to control groups. Sleep quality was also analyzed as a secondary outcome of fatigue. A meta-analysis of four studies using lavender and/or orange peel oil found that aromatherapy produced a 0.98-point improvement in postnatal mothers' quality of sleep. Although a meta-analysis could not be conducted to synthesize the findings for fatigue in pregnant women, inhalation and massage therapy using lavender oil showed positive effects on prenatal fatigue and sleep quality. Conclusion: Aromatherapy using lavender oil and orange peel oil is effective in improving prenatal and postnatal fatigue and sleep quality.

Deep learning-based post-disaster building inspection with channel-wise attention and semi-supervised learning

  • Wen Tang;Tarutal Ghosh Mondal;Rih-Teng Wu;Abhishek Subedi;Mohammad R. Jahanshahi
    • Smart Structures and Systems
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    • 제31권4호
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    • pp.365-381
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    • 2023
  • The existing vision-based techniques for inspection and condition assessment of civil infrastructure are mostly manual and consequently time-consuming, expensive, subjective, and risky. As a viable alternative, researchers in the past resorted to deep learning-based autonomous damage detection algorithms for expedited post-disaster reconnaissance of structures. Although a number of automatic damage detection algorithms have been proposed, the scarcity of labeled training data remains a major concern. To address this issue, this study proposed a semi-supervised learning (SSL) framework based on consistency regularization and cross-supervision. Image data from post-earthquake reconnaissance, that contains cracks, spalling, and exposed rebars are used to evaluate the proposed solution. Experiments are carried out under different data partition protocols, and it is shown that the proposed SSL method can make use of unlabeled images to enhance the segmentation performance when limited amount of ground truth labels are provided. This study also proposes DeepLab-AASPP and modified versions of U-Net++ based on channel-wise attention mechanism to better segment the components and damage areas from images of reinforced concrete buildings. The channel-wise attention mechanism can effectively improve the performance of the network by dynamically scaling the feature maps so that the networks can focus on more informative feature maps in the concatenation layer. The proposed DeepLab-AASPP achieves the best performance on component segmentation and damage state segmentation tasks with mIoU scores of 0.9850 and 0.7032, respectively. For crack, spalling, and rebar segmentation tasks, modified U-Net++ obtains the best performance with Igou scores (excluding the background pixels) of 0.5449, 0.9375, and 0.5018, respectively. The proposed architectures win the second place in IC-SHM2021 competition in all five tasks of Project 2.

Assessment of Historical and Future Climatic Trends in Seti-Gandaki Basin of Nepal. A study based on CMIP6 Projections

  • Bastola Shiksha;Cho Jaepil;Jung Younghun
    • 한국수자원학회:학술대회논문집
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    • 한국수자원학회 2023년도 학술발표회
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    • pp.162-162
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    • 2023
  • Climate change is a complex phenomenon having its impact on diverse sectors. Temperature and precipitation are two of the most fundamental variables used to characterize climate, and changes in these variables can have significant impacts on ecosystems, agriculture, and human societies. This study evaluated the historical (1981-2010) and future (2011-2100) climatic trends in the Seti-Gandaki basin of Nepal based on 5 km resolution Multi Model Ensemble (MME) of 18 Global Climate Models (GCMs) from the Coupled Model Intercomparison Project Phase 6 (CMIP6) for SSP1-2.6, SSP2-4.5 and SSP5-85 scenarios. For this study, ERA5 reanalysis dataset is used for historical reference dataset instead of observation dataset due to a lack of good observation data in the study area. Results show that the basin has experienced continuous warming and an increased precipitation pattern in the historical period, and this rising trend is projected to be more prominent in the future. The Seti basin hosts 13 operational hydropower projects of different sizes, with 10 more planned by the government. Consequently, the findings of this study could be leveraged to design adaptation measures for existing hydropower schemes and provide a framework for policymakers to formulate climate change policies in the region. Furthermore, the methodology employed in this research could be replicated in other parts of the country to generate precise climate projections and offer guidance to policymakers in devising sustainable development plans for sectors like irrigation and hydropower.

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글로벌 프로토콜로서의 ICF 활용을 위한 전산화 구성요소 고찰 (Review of the Computerization Component for the Utilization of ICF as a Global Protocol)

  • 최년식;송주민
    • 대한물리의학회지
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    • 제18권3호
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    • pp.121-133
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    • 2023
  • PURPOSE: Computerization using ICF as a protocol can enhance the assessment, communication, and decision-making of various disciplines and cultures, individual functions, disabilities and health to promote communication and understanding among various professionals, organizations, and countries. The empirical foundation for these propositions was provided by delineating of six distinct computerization components. METHODS: This study analyzed 14 papers that combined the medical field and information technology to activate the ICF through computerization. From each of these papers, distinctive advantages were extracted to propose six computerization elements. The validity of these computerization elements was examined. These papers encompass various computerization elements, among which core elements were identified. In particular, six common core elements were extracted from these papers and assumed to be strategic computerization components for ICF activation. A heuristic methodology was employed to validate these components, representing IT technology maturity using four determining indices, which were then presented graphically for validation attempts. RESULTS: Four quantified indices were defined: reliability, cost-effectiveness, support and updates, and collaboration. Using these indices, this study identified elements that leverage existing IT technologies and require new development. The possibility of increasing utility was identified by applying computerization to ICF. CONCLUSION: This study examined the strategic elements of utilizing ICF by computerizing it using a protocol concept and discussed its potential for utilization. The potential to enhance the value of information in social, physical, and cultural contexts was presented by integrating various domains and data within the ICF framework.

Pre-pregnancy Diet to Maternal and Child Health Outcome: A Scoping Review of Current Evidence

  • Fadila Wirawan;Desak Gede Arie Yudhantari;Aghnaa Gayatri
    • Journal of Preventive Medicine and Public Health
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    • 제56권2호
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    • pp.111-127
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    • 2023
  • Objectives: Pre-pregnancy diet has an important role in preparing for healthy generation. However, evidence on this issue has been scarce. A scoping review synthesising current evidence will support the demand to map 'what has been researched' on pre-pregnancy diet and maternal and child health. Methods: Systematic search was performed using PICOS (Population, Intervention, Comparison, Outcomes, and Study design) framework in electronic databases. Articles were screened for eligibility, summarized, and the quality was assessed using the National Institute of Health assessment tool. The review structure complies with Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guide. Results: Forty-two articles were included after full-text screening. Twenty-five studies were in high-income countries (HICs), six in each upper-middle income, five in lower-middle income countries (LMICs), and one in low-income countries (LIC). Based on the regions: North America (n=16), Europe (n=5), South America (n=4), Australia (n=4), Asia (n=5), Middle East (n=2), and sub-Saharan Africa (n=1). The two-most observed diet-related exposures were dietary pattern (n=17) and dietary quality (n=12). The most assessed outcome was gestational diabetes mellitus (n=28) and fetal and newborn anthropometry (n=7). The average quality score±standard deviation was 70±18%. Conclusions: Research related to pre-pregnancy diet is still concentrated in HICs. The context of diet may vary; therefore, future research is encouraged in LMICs and LICs context, and Mediterranean, South-East Asia, Pacific, and African regions. Some maternal and child nutrition-related morbidity, such as anemia and micronutrient deficiencies, have not been discussed. Research on these aspects will benefit to fill in the gaps related to pre-pregnancy diet and maternal and child health.

Classification and consideration for the risk management in the planning phase of NPP decommissioning project

  • Gi-Lim Kim;Hyein Kim;Hyung-Woo Seo;Ji-Hwan Yu;Jin-Won Son
    • Nuclear Engineering and Technology
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    • 제54권12호
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    • pp.4809-4818
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    • 2022
  • The decommissioning project of a nuclear facility is a large-scale process that is expected to take about 15 years or longer. The range of risks to be considered is large and complex, then, it is expected that various risks will arise in decision-making by area during the project. Therefore, in this study, the risk family derived from the Decommissioning Risk Management (DRiMa) project was reconstructed into a decommissioning project risk profile suitable for the Kori Unit 1. Two criteria of uncertainty and importance are considered in order to prioritize the selected 26 risks of decommissioning project. The uncertainty is scored according to the relevant laws and decommissioning plan preparation guidelines, and the project importance is scored according to the degree to which it primarily affects the triple constraints of the project. The results of risks are divided into high, medium, and low. Among them, 10 risks are identified as medium level and 16 risks are identified as low level. 10 risks, which are medium levels, are classified in five categories: End state of decommissioning project, Management of waste and materials, Decommissioning strategy and technology, Legal and regulatory framework, and Safety. This study is a preliminary assessment of the risk of the decommissioning project that could be considered in the preparation stage. Therefore, we expect that the project risks considered in this study can be used as an initial data for reevaluation by reflecting the detail project progress in future studies.

지반의 공간적 변동성을 고려한 확률론적 해석기법에 관한 연구 (A Study on the Probabilistic Analysis Method Considering Spatial Variability of Soil Properties)

  • 조성은;박형춘
    • 한국지반공학회논문집
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    • 제24권8호
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    • pp.111-123
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    • 2008
  • 지반공학 문제는 많은 불확실한 요인을 내포한다. 이러한 불확실성 중 일부는 해석 수행과정에 필요한 지반 물성의 변동성과 관련이 있다. 본 연구에서는 지반물성의 공간적 변동성을 고려한 확률론적 해석을 수행할 수 있는 절차를 제시하였다. 제시된 방법은 유한차분 해석기법과 랜덤필드 이론을 확률론적 해석기법에 통합하게 된다. 지정된 입력 확률분포함수와 자기상관함수를 따르는 non-Gaussian 랜덤필드를 생성하기 위하여 Karhunen-$Lo{\grave{e}}ve$ 전개법을 사용하였다. 생성된 랜덤필드를 이용하여 확률론적 응답을 얻기 위해 Monte Carlo 시뮬레이션을 수행하였다. 지반의 공간적인 변동성에 기인하는 불확실성의 효과를 연구하기 위하여 대상 기초의 침하량과 지지력에 대한 일련의 해석을 수행하였다. 해석결과는 지반공학 문제에서 불확실성을 고려할 수 있는 관점을 제시하며 확률론적 평가의 결과에 미치는 지반물성의 공간적 변동성의 중요성을 보여준다.