• Journal of Hospice and Palliative Care
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• v.24 no.1
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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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• v.13 no.6
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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 muscle and joint health
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• v.31 no.2
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• pp.86-94
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• 2024

Purpose: The goal of this study aimed to understand the factors influencing the empathy competence and moral sensitivity of nurses working in tertiary general hospitals who offered end-of-life care. Methods: Descriptive data were collected from self-reported questionnaires completed by 164 nurses with direct nursing care experience with end-of-life patients at two tertiary general hospitals located in Busan, Korea. The variables examined were empathy competence, moral sensitivity, and end-of-life care performance. Data were analyzed using SPSS version 27.0 software. Results: Participants scored 3.73±0.40 on empathy competence, 4.97±0.51 on moral sensitivity and 2.91±0.37 on end-of-life care performance. There was a significant positive correlation between empathy competence and end-of-life care performance, and between moral sensitivity and end-of-life care performance. The factors affecting nurses' end-of-life care performance, empathy competence and moral sensitivity, exhibited with an explanatory power of 31%. Conclusion: Programs to increase empathy competence and moral sensitivity should be developed to improve nurses' end-of-life care performance.

• Journal of Hospice and Palliative Care
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• v.26 no.3
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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.

• Journal of Industrial Convergence
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• v.22 no.5
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• pp.107-116
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• 2024

This study is a descriptive research study to determine the extent to which end-of-life care stress, death awareness, and prior decision-making attitudes of nurses at a hospice and palliative nursing institution have an impact on end-of-life care performance. The subjects of this study were 200 nurses working at a hospice and palliative nursing institution. Data collection for this study was conducted from August 9 to September 30, 2021, using two methods: written questionnaire and internet survey. The data analysis method used Pearson's correlation coefficient to analyze the relationship between the subjects' end-of-life care stress, death awareness, prior decision-making attitude, and end-of-life care performance. Hierarchical Regression was used to identify factors affecting the subject's end-of-life care performance. The results of this study showed a significant correlation between end-of-life care performance and death awareness (r=.22, p=.002), and end-of-life care performance and prior decision-making attitude (r=.20, p=.004). And prior decision-making attitude and death awareness had a significant impact on end-of-life care performance. As death awareness and prior decision-making attitudes increased, end-of-life care performance increased, and end-of-life care stress did not appear to be a statistically significant factor influencing end-of-life care performance. In order to improve hospice nurses' ability to provide end-of-life care, intervention that takes into account the influencing factors is required.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.28 no.2B
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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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• v.7 no.3
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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.

• Journal of Advanced Navigation Technology
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• v.15 no.2
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• pp.248-255
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• 2011

An investigation has been carried out, by computer simulation, to evaluate the impact of dispersion compensation configurations on 960 Gbps wavelength division multiplexed (WDM) system with optical phase conjugator (OPC). The considered dispersion compensation configurations in this research are conventional one-end type and bi-end type. One-end and bi-end type are made by using one dispersion compensating fiber (DCF) and two DCFs to decrease dispersion accumulated in one single mode fiber (SMF) span, respectively. It is found that bi-end compensation configuration offers the equal performance with that of one-end configuration in WDM system with residual dispersion per span (RDPS) of 400 ps/nm if net residual dispersion (NRD) had to be optimized in each cases.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.16 no.6
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• pp.498-508
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• 1991

This thesis presents a performance analysis algorithm that estimates erro performance of individual links, at the bit level, in an end-to-end digital connection using the model of 3-statte MarKov chain. The link model proposed the burst error behavior of each individual link. It also presents a method to concateante several individual links and extract a model for end-to-end digital connection. This resulting end-to-end model can be used to calculate performance parameters such as bit error rate(BER) and block error(BLER) for any block size.

• Journal of Communications and Networks
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• v.1 no.3
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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].