• 제목/요약/키워드: Confidence term

검색결과 342건 처리시간 0.027초

Adherence to the Clean Intermittent Catheterization Following a Customized Intensive Education Program for Patients with Emptying Failure

  • Lee, Sang Rim;Lee, In Sook;Oh, Seung-June;Kim, Sung Hwa;Chin, Young Ran
    • 지역사회간호학회지
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    • 제29권4호
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    • pp.467-475
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    • 2018
  • Purpose: The purpose of this study is to investigate adherence to the clean intermittent catheterization (CIC) and influencing factors on the adherence following a customized intensive education program (CIEP). Methods: This work is a retrospective descriptive study. The subjects were 226 emptying failure patients who learned in a CIEP from January 2012 to July 2014. The program developed in 2011 and consisted of 1) customized theoretical education; based on the results of urologic tests, underlying disease, or surgery of the patients, 2) hands-on practice until the trainees were able to master the techniques, 3) questions about the process of catheterization and what he/she needs to know. 4) at follow-up, the survey about adherence and barrier to CIC. Clinical characteristics; the level of satisfaction, understanding, and self-confidence; the barrier in medical records were reviewed. Results: The short-term adherence rate (median 22 days) is 87.6% and the long-term adherence rate (median 112 days) is 50.4%. The biggest obstacle is time management. The levels of satisfaction, understanding, and self-confidence are very high. The variable of Income is the only factor that has influence on adherence. Conclusion: Despite the CIEP, the adherence rate is relatively low. In addition to the education, emotional and psychological supports and regular follow-up are needed to improve long-term adherence.

수력발전기 On-line 부분방전 측정 시스템을 이용한 절연상태 진단의 신뢰성 향상 (Reliability Improvement of Insulation Diagnosis Using the Hydro-Generator On-Line Partial Discharge Monitoring System)

  • 옥연호;이은웅;임재일;박지군;곽원구;이재흥;신재필;신병철
    • 전기학회논문지P
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    • 제58권4호
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    • pp.469-475
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    • 2009
  • Accident dangerousness of domestic hydro power generators which are operated in Korea is on the increase because of use at the long term. On this, the Off-line diagnosis techniques developed to the On-line by continued domestic technical development since 2000. Especially, On-line insulation diagnosis of domestic hydro power generator is possible by localization of partial electric discharge sensor and On-line insulation diagnosis system. This paper shows the diagnosis result that is applied localized Ceramic Coupler and PDMS-HG(Partial Discharge Monitoring System for Hydro Generator) at four Chung-ju hydro Generator used for 25 years. Particularly, the confidence of insulation diagnosis is improved by using high frequency filter and sampling the partial discharge signals which occur in site. For reviewing the confidence of On-Line insulation diagnosis system, we measured the outside noises and partial discharge signals during practical operation by using the partial discharge diagnosis system of the Full A/D process. And we reviewed the confidence of the On-Line insulation diagnosis system by comparing and analyzing these data.

PROPAGATION OF MULTI-LEVEL CUES WITH ADAPTIVE CONFIDENCE FOR BILAYER SEGMENTATION OF CONSISTENT SCENE IMAGES

  • Lee, Soo-Chahn;Yun, Il-Dong;Lee, Sang-Uk
    • 한국방송∙미디어공학회:학술대회논문집
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    • 한국방송공학회 2009년도 IWAIT
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    • pp.148-153
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    • 2009
  • Few methods have dealt with segmenting multiple images with analogous content. Concurrent images of a scene and gathered images of a similar foreground are examples of these images, which we term consistent scene images. In this paper, we present a method to segment these images based on manual segmentation of one image, by iteratively propagating information via multi-level cues with adaptive confidence. The cues are classified as low-, mid-, and high- levels based on whether they pertain to pixels, patches, and shapes. Propagated cues are used to compute potentials in an MRF framework, and segmentation is done by energy minimization. Through this process, the proposed method attempts to maximize the amount of extracted information and maximize the consistency of segmentation. We demonstrate the effectiveness of the proposed method on several sets of consistent scene images and provide a comparison with results based only on mid-level cues [1].

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The Impact of Cash Flow Statement on Lending Decision of Commercial Banks: Evidence from Vietnam

  • NGUYEN, Dung Duc;NGUYEN, Anh Huu
    • The Journal of Asian Finance, Economics and Business
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    • 제7권6호
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    • pp.85-93
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    • 2020
  • The paper investigates the impact of the statement of cash flows of listed companies on lending decisions of commercial banks in the context of Vietnam. Survey data for the research were collected from 160 credit officers of Vietnamese commercial banks for short-term and long-term lending decisions, whether the cash flow statement includes complete information or has a lack of information. The cash flow statement, in which the information on the cash flow is completely contrary to the profit information on the income statement is examined. This paper employed T-tests to address the research issues in a market considered to be ineffective, like Vietnam. The research results show: (1) the information on the cash flow statement affects both the short-term and long-term lending decisions of credit officers, and (2) the lack of information on the cash flow statement in both cases of positive and negative profits affects the comfort and confidence of credit officers in making decisions. The research findings also indicate that cash flow statements are important for lending decisions of credit institutions in Vietnam. Therefore, this paper provides a new insight to managers on how to improve the quality of cash flow statement to meet the needs of lenders.

태양광모듈의 장기적 신뢰성 실험 (Long-Term Reliable Test of Photovoltaic Modules)

  • 김경수;권오은;강기환;유권종;윤순길
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2011년도 제42회 하계학술대회
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    • pp.1405-1405
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    • 2011
  • Sudden earthquake is changing national energy stratagem for future energy resource. In case Germany, current nuke power station will be shut down with several decades. Newly constructed build in Japan must have photovoltaic system as a obligations.. As a long-term sustainable energy one, PV should give confidence to customers up to more than 20 years. Today, IEC 61215 and IEC 61646 standards are representative one for ensuring performance and safety of PV module. But it is still needed to develop more realistic test method. For example, if we think about extreme condition like desert and North Pole, the temperature condition describe in test standards can have little effect on life time expectation of PV module. Installation speed of PV system is very high, but establishing test standards are very complex and not easy. So in this paper, I tried to open the long-term test method for PV module to ensure 25 year's old life time. It is just starting point of PV related long-term test methods. The specific and technical explanation will be shown in the following paper in detail.

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텍스트 마이닝 기법을 이용한 연관용어 선정에 관한 실험적 연구 (An Experimental Study on Selecting Association Terms Using Text Mining Techniques)

  • 김수연;정영미
    • 정보관리학회지
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    • 제23권3호
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    • pp.147-165
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    • 2006
  • 이 연구에서는 전체 문헌집단으로부터 초기 질의어에 대한 연관용어 선정 시 사용할 수 있는 최적의 기법을 찾기 위해 연관규칙 마이닝과 용어 클러스터링 기법을 이용하여 연관용어 선정 실험을 수행하였다. 연관규칙 마이닝 기법에서는 Apriori 알고리즘을 사용하였으며, 용어 클러스터링 기법에서는 연관성 척도로 GSS 계수, 자카드계수, 코사인계수, 소칼 & 스니스 5, 상호정보량을사용하였다. 성능평가 척도로는 연관용어 정확률과 연관용어 일치율을 사용하였으며, 실험결과 Apriori 알고리즘과 GSS 계수가 가장 좋은 성능을 나타냈다.

No evidence on the effectiveness of oral splints for the management of temporomandibular joint dysfunction pain in both short and long-term follow-up systematic reviews and meta-analysis studies

  • Fouda, Atef Abdel Hameed
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제46권2호
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    • pp.87-98
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    • 2020
  • The aim of this study was to determine the efficacy of oral splints in reducing the intensity of pain in patients with temporomandibular joint dysfunction in both short and long-term treatment durations. Electronic databases, Cochrane Library, MEDLINE via PubMed, Web of Science, Egyptian Knowledge Bank, and EMBASE were searched for randomized controlled trials comparing different types of splints to non-occluding splints, behavioral therapy, pharmacotherapy, counseling, and no treatment. The risk of bias was assessed by using Cochrane risk of bias recommendations. Fixed and random effects were used to summarize the outcomes. The effect estimates were expressed as standardized mean differences (SMD) or risk ratios with a 95% confidence interval (CI). Subgroup analyses were carried out according to the treatment duration. Twenty-two studies met the inclusion criteria. A meta-analysis of short-term studies up to three months revealed no significant difference between the study groups. However, long-term studies exhibited a significant difference in pain reduction in favor of the control group. Total analysis revealed that the control group resulted in significant pain reduction (SMD 0.14, 95% CI 0.05-0.23, P=0.002, I2=0%). Oral splints are not effective in reducing pain intensity or improving function in patients with temporomandibular joint dysfunction.

저소득 가정 영유아 건강 프로그램이 어머니의 양육지식, 행동, 자신감 및 가정환경에 미치는 효과 (Effects of an Infant/Toddler Health Program on Parenting Knowledge, Behavior, Confidence, and Home Environment in Low-income Mothers)

  • 이경주;양수;장미희;염미정
    • 대한간호학회지
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    • 제42권5호
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    • pp.671-679
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    • 2012
  • Purpose: This study was conducted to evaluate the effectiveness of a mother/infant-toddler health program developed to enhance parenting knowledge, behavior and confidence in low income mothers and home environment. Methods: A one-group pretest-posttest quasi-experimental design was used. Sixty-nine dyads of mothers and infant-toddlers (aged 0-36 months) were provided with weekly intervention for seven session. Each session consisted of three parts; first, educating to increase integrated knowledge related to the development of the infant/toddler including nutrition, first aid and home environment; second, counseling to share parenting experience among the mothers and to increase their nurturing confidence; third, playing with the infant/toddler to facilitate attachment-based parenting behavior for the mothers. Results: Following the programs, there were significant increases in parenting knowledge on nutrition and first aid. A significant improvement was found in attachment-based parenting behavior, but not in home safety practice. Nurturing confidence was not significantly increased. The program led to more positive home environment for infant/toddler's health and development. Conclusion: The findings provide evidence for mother-infant/toddler health program to improve parenting knowledge, attachment-based parenting behavior and better home environment in low income mothers. Study of the long term effectiveness of this program is recommended for future research.

Robotic versus Laparoscopic versus Open Gastrectomy: A Meta-Analysis

  • Marano, Alessandra;Choi, Yoon Young;Hyung, Woo Jin;Kim, Yoo Min;Kim, Jieun;Noh, Sung Hoon
    • Journal of Gastric Cancer
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    • 제13권3호
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    • pp.136-148
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    • 2013
  • Purpose: To define the role of robotic gastrectomy for the treatment of gastric cancer, the present systematic review with meta-analysis was performed. Materials and Methods: A comprehensive search up to July 2012 was conducted on PubMed, EMBASE, and the Cochrane Library. All eligible studies comparing robotic gastrectomy versus laparoscopic gastrectomy or open gastrectomy were included. Results: Included in our meta-analysis were seven studies of 1,967 patients that compared robotic (n=404) with open (n=718) or laparoscopic (n=845) gastrectomy. In the complete analysis, a shorter hospital stay was noted with robotic gastrectomy than with open gastrectomy (weighted mean difference: -2.92, 95% confidence interval: -4.94 to -0.89, P=0.005). Additionally, there was a significant reduction in intraoperative blood loss with robotic gastrectomy compared with laparoscopic gastrectomy (weighted mean difference: -35.53, 95% confidence interval: -66.98 to -4.09, P=0.03). These advantages were at the price of a significantly prolonged operative time for both robotic gastrectomy versus laparoscopic gastrectomy (weighted mean difference: 63.70, 95% confidence interval: 44.22 to 83.17, P<0.00001) and robotic gastrectomy versus open gastrectomy (weighted mean difference: 95.83, 95% confidence interval: 54.48 to 137.18, P<0.00001). Analysis of the number of lymph nodes retrieved and overall complication rates revealed that these outcomes did not differ significantly between the groups. Conclusions: Robotic gastrectomy for gastric cancer reduces intraoperative blood loss and the postoperative hospital length of stay compared with laparoscopic gastrectomy and open gastrectomy at a cost of a longer operating time. Robotic gastrectomy also provides an oncologically adequate lymphadenectomy. Additional high-quality prospective studies are recommended to better evaluate both short and long-term outcomes.

학교보건교사 전염병관리교육 효과평가 (Evaluation of Field Epidemiology Specialist Program for School Nurse)

  • 박노례;권준욱;김명순;정인숙
    • 보건교육건강증진학회지
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    • 제24권1호
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    • pp.63-74
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    • 2007
  • Objectives: This study aimed to evaluate the educational effect of the Field Epidemiology Specialist Training Program for School Nurse which composed of 18hours curriculum. Method: The subjects were 797 who participated in the 2005 training program. Data was collected with structured questionnaires(knowledge on the control of communicable disease 15 items, attitude 15 items, and confidence in practice 14 items, demographic characteristics 4 items) before (January) and after (July to October) programs in 2005. Results: Knowledge on the control of communicable disease was improved from 9.7 points (possible range : 0-15) before program to 11.9 points after program. Attitude was improved from 53.6 points (possible range : 15-60) before program to 55.7 points after program. Confidence in practice was changed from 45.9 points (possible range : 14-56) before program to 50.0 points after program. Even though all three areas were improved after educational program, knowledge showed the largest change among them. Conclusion: We can conclude the educational program was effective because knowledge, attitude, and confidence in practice on the control of communicable were statistically significantly improved after educational program. Further educational program is recommended to be operated to get more improvement in attitude and confidence in practice. And short-term continuing educational program is needed to maintain and refresh the information on the control of communicable diseases in schools.