• Journal of Hospice and Palliative Care
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• 제24권1호
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• pp.26-35
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• 2021

Purpose: The purpose of this study was to determine the effects of awareness of good death and end-of-life care attitudes on end-of-life care performance in long-term care hospital nurses. Methods: This study used a cross-sectional study design. The participants were 147 nurses working at six long-term care hospitals with more than 200 beds in B city, South Korea. Data were collected using self-reported questionnaires, and analyzed with descriptive statistics, the t-test, analysis of variance, Pearson correlation coefficients, and multiple stepwise regression analysis using IBM/SPSS 26.0 for Windows. Results: The participants' awareness of good death, end-of-life care attitudes, and end-of-life care performance were positively correlated. The factors affecting end-of-life care performance were age, education level, awareness of good death, and end-of-life care attitudes; these variables explained 19.0% of end-of-life care performance. Conclusion: In order to improve long term care hospital nurses' end-of-life care performance, continuing education and training should be provided regarding awareness of good death and end-of-life care attitudes.

• Journal of Electrical Engineering and Technology
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• 제13권6호
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• pp.2456-2467
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• 2018

Wireless multimedia sensor networks (WMSNs) require real-time quality-of-service (QoS) guarantees to be provided by the network. The end-to-end delay is very critical metric for QoS guarantees in WMSNs. In WMSNs, due to the transmission errors incurred over wireless channels, it is difficult to obtain reliable delivery of data in conjunction with low end-to-end delay. In order to improve the end-to-end delay performance, the system has to drop few packets during network congestion. In this article, our proposal is based on optimization of end-to end delay for WMSNs. We optimize end-to-end delay constraint by assuming that each packet is allowed fixed number of retransmissions. To optimize the end-to-end delay, first, we compute the performance measures of the system, such as end-to-end delay and reliability for different network topologies (e.g., linear topology, tree topology) and against different choices of system parameters (e.g., data rate, number of nodes, number of retransmissions). Second, we study the impact of the end-to-end delay and packet delivery ratio on indoor and outdoor environments in WMSNs. All scenarios are simulated with multiple run-times by using network simulator-2 (NS-2) and results are evaluated and discussed.

• Journal of Hospice and Palliative Care
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• 제26권3호
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• pp.101-111
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• 2023

Purpose: This study aimed to identify levels of perception and performance of end-oflife care among nurses and to investigate correlations between perception and performance. Methods: This cross-sectional descriptive survey included 321 nurses from a tertiary hospital in Seoul, Korea. The participants had at least 6 months of work experience and had been involved in end-of-life care at least once, in either ward or intensive care unit settings. A structured questionnaire was utilized to assess their perception and performance of endof-life care. Results: The mean score for perception of end-of-life care was 3.23±0.34, while the score for performance of end-of-life care was 3.08±0.34. There was a significant positive correlation between nurses' perception of end-of-life care and their performance in this area (r=0.78, P<0.001). Conclusion: It is necessary to change perceptions regarding end-of-life care and to develop systematic and standardized education programs including content such as assessing the hydration status of dying patients, evaluating mental aspects such as suicidal ideation, and providing spiritual care for nurses working in end-of-life departments.

• 산업융합연구
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• 제22권5호
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• pp.107-116
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• 2024

본 연구는 호스피스 완화의료 전문기관 간호사의 임종간호스트레스, 죽음인식, 사전의사결정 태도가 임종간호수행에 미치는 영향 정도를 규명하기 위한 서술적 조사 연구이다. 본 연구의 대상자는 보건복지부로부터 호스피스 완화의료 전문기관으로 지정된 의료기관에 근무하는 호스피스 간호사 200명이다. 본 연구의 자료수집은 서면 설문지와 인터넷 설문조사 두가지 방법을 사용하여 2021년 8월 9일부터 9월 30일까지 이루어졌다. 자료분석방법은 대상자의 임종간호스트레스, 죽음인식, 사전의사결정 태도, 임종간호수행 간의 관계를 분석하기 위해 Pearson's correlation coefficient를 사용하였고 대상자의 임종간호수행에 영향을 미치는 요인을 파악하기 위해 Hierarchical Regression을 사용하였다. 본 연구결과 임종간호수행과 죽음인식(r=.22, p=.002), 임종간호수행과 사전의사결정 태도(r=.20, p=.004)는 유의한 상관관계를 나타냈다. 그리고 독립변수를 추가한 MODEL2에서 연령, 사전의사결정 태도, 죽음인식이 유의한 임종간호수행 영향요인이었으며 이들의 설명력은 10.4%이었다(F=3.90, p<.001). 호스피스 간호사의 임종간호스행 능력을 향상시키기 위해서는 그 영향요인을 고려한 중재가 요구된다.

• 한국통신학회논문지
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• 제28권2B호
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• pp.144-156
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• 2003

Internet/Intranet has been continuously enhanced by new emerging IP technologies such as differentiate service(DiffServ), IPSec(IP Security) and MPLS(Multi-protocol Label Switching) traffic engineering. According to the increased demands of various real-time multimedia services, ISP(Internet Service Provider) should provide enhanced end-to-end QoS(quality of service) and security features. Therefore, Internet and Intranet need the management functionality of sophisticated traffic engineering functions. In this paper, we design and implement the performance management functionality for the guaranteed end-to-end QoS provisioning on MPLS-based VPLS(Virtual Private LAN Service). We propose VPLS OAM(Operation, Administration and Maintenance) for efficient performance management. We focus on a scheme of QoS management and measurement of QoS parameters(such as delay, jitter, loss, etc.) using VPLS OAM functions. The proposed performance management system also supports performance tuning to enhance the provided QoS by re-adjusting the bandwidth of LSPs for VPLS. We present the experimental results of performance monitoring and analysis using a network simulator.

• Journal of information and communication convergence engineering
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• 제7권3호
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• pp.309-313
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• 2009

In this paper, end-to-end VoIP(Voice over Internet Protocol) performance is evaluated by simulation with NS-2 simulation tool. There are many results studied and published for VoIP performance over TCP/IP networks. But, almost all of them were focused on wired or wireless Internet environments. About MANET (Mobile Ad Hoc Network), VoIP is currently studying several points of research. In this paper, analysis of VoIP performance is done with focusing on the mobility of MANETs. MOS(Mean Opinion Score), network delay, packet loss rates are considered as end-to-end QoS performance parameters.

• 한국항행학회논문지
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• 제15권2호
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• pp.248-255
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• 2011

분산 보상 구조가 광 위상 공액기 (OPC; optical phase conjugator)를 갖는 960 Gbps의 파장 분할 다중 (WDM; wavelength division multiplexed) 시스템에 미치는 영향을 컴퓨터 시뮬레이션을 통해 살펴보았다. 본 연구에서 고려한 분산 보상 구조는 전통적인 one-end 구조와 bi-end 구조이다. one-end 구조와 bi-end 구조는 하나의 단일 모드 광섬유 (SMF; single mode fiber) 중계 간격마다 축적된 분산량을 줄여주기 위하여 각각 하나의 분산 보상 광섬유 (DCF; dispersion compensating fiber)와 두 개의 DCF를 사용하여 만들어진다. 전체 잉여 분산 (NRD; net residual dispersion)이 최적화되면 중계 거리 당 잉여 분산 (RDPS; residual dispersion per span)이 400 ps/nm인 WDM 시스템에서 bi-end 구조와 one-end 구조는 거의 동일한 성능을 나타내는 것을 확인하였다.

• 한국통신학회논문지
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• 제16권6호
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• pp.498-508
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• 1991

본 논문은 비트레벨에서, 3 - 상태 마코프체인의 모델을 사용한 종단대 종단 디지털 접속부에서의 개개 링크들의 에러성능을 평가하는 성능 분석 알고리즘을 표현했다. 링크모델은 개개링크의 버스트에러를 제안했으며, 또한 그것은 여러가지 개개링크들을 연결시키는 방법과 종단대 종단 디지털 접속부에 대한 모델을 추출하는 방법을 나타냈다. 이 결과적인 종단대 종단 모델이 주어진 블럭크기에 대한 비트에러율과 블럭에러와 같은 성능 파라미터를 계산하는데 사용될 수 있다.

• Journal of Communications and Networks
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• 제1권3호
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• pp.189-200
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• 1999

For admitting a hard real-time connection to an ATM network, it is required that the end-새둥 delays of cells belong-ing to the connection meet their deadlines without violating the guarantees already provided to the currently active connections. There are two kinds of methods to analyze the end-to-end delay in an ATM network. A decomposed method analyzes the worst case delay for each switch and then computes the total delay as the sum of the delays at individual switches. On the other hand, an integrated method analyzes all the switches involved in an inte-grated manner and derives the total delay directly. In this paper, we present an efficient and effecitive integrated method to compute the end-to-end delay. We evaluate the network performance under different system parameters and we compare the performance of the proposed method with the conventional decomposed and other integrated methods [1], [3], [5]-[9].

• 한국통신학회논문지
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• 제30권10B호
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• pp.630-638
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• 2005

네트워크 및 종단 노드의 시스템에 걸친 제한된 자원을 활용하여 실현되는 영상/음성 전달 서비스를 위한 멀티미디어 응용 프로그램의 품질을 보장하기 위해서는 지연, 지터, 손실과 같은 전송 상태와 CPU, 메모리의 사용량과 같은 시스템의 상태를 동시에 관찰하는 것이 필요하다. 본 논문에서는 액세스그리드 (Access Grid) 경우와 같이 IP 멀티캐스트 상에 동작하는 RTP/RTCP에 기반한 실시간 미디어 응용 프로그램을 대상으로 동적/정적 모니터링 방식을 혼용하여 멀티캐스트 상태와 시스템 상태를 측정하는 혼성 모니터링 방식을 제안한다. 또한 종단간 전송 품질이 저하된 경우 제안한 모니터링 방식에서 측정된 결과를 비교/분석하여 품질 저하의 원인을 판단하고 원인에 적합한 대응방안을 연계하고i라 한다. 이 결과를 바탕으로 네트워크/시스템의 상태 변화에 적응적인 영상/음성 전송 서비스의 가능성을 타진하고 종단간 전송 품질 저하 방지를 위한 효과를 예상한다.