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Transitional Care for Older Adults with Chronic Illnesses as a Vulnerable Population: Theoretical Framework and Future Directions in Nursing

  • Son, Youn-Jung;You, Mi-Ae
    • 대한간호학회지
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    • 제45권6호
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    • pp.919-927
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    • 2015
  • Purpose: Effective transitional care is needed to improve the quality of life in older adult patients with chronic illness and avoid discontinuity of care and adverse events. The aim of this article is to provide an overview of the key features, broader implications, and the utility of Meleis' transition theory intended for the transitional care of older adults with chronic illnesses. We present the role of nurse in the context of transitional care and propose future directions to increase the quality of nursing care. Methods: The online databases Cumulative Index of Nursing and Allied Health Literature, MEDLINE, and Science Direct were searched for relevant literature published since 1970 along with textbooks regarding nursing theory. Results: An evaluation of the usefulness of transition theory based on transitional care in older adult patients with chronic illnesses is provided. Healthy transition should be the expected standard of nursing care for older adults across all healthcare settings. Conclusion: Nurses need to contribute to the development of transitional care for vulnerable populations; however, transition theory needs to be enhanced through additional theoretical work and repeated evaluations of the applicability in areas of transitional care.

LNG 플랜트 프로젝트의 기본설계 평가방법에 관한 연구 (Decision Methodology for LNG Plant FEED Evaluation using Analytic Hierarchy Process)

  • 박종화;조대명
    • 한국가스학회지
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    • 제20권3호
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    • pp.52-58
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    • 2016
  • 그린 청정에너지인 LNG는 1969년 상업 생산을 시작한 이래로, 지속적인 수요증가로 LNG 플랜트 산업은 성장일로에 있으며, 많은 투자가 이루어지고 있다. LNG 플랜트 프로젝트의 진행단계는 타당성 검토 및 개념설계 단계, 기본설계 단계 (FEED, Front End Engineering Design), 그리고 플랜트 건설이 포함되는 상세설계 단계로 나누어진다. 사업투자 의사결정은 기본설계 완료시점과 상세설계의 시작 전에 이루어지는 것이 일반적이다. LNG 플랜트 프로젝트 추진 시, 경제성, 안정성, 생산성, 환경영향, 기술파급효과, 운전 및 정비 등 고려하여야 할 요인이 매우 다양하다. 아직까지 국내에서는 LNG 플랜트의 각 설계단계에 대한 효과적인 평가기법이 개발되어 있지 못하며, 다만 소수 경험자의 의견중시, 일부 기술 항목 비교 등 일부 요인에 대하여만 가중치를 부여하는 방법이 이용되고 있는 실정이다. 본 논문에서는 LNG플랜트 기본설계에 대한 평가를 통하여 상세설계단계로의 원활한 사업 이행을 위한 평가방법론을 제안 및 분석하고자 하였다. 본 연구에서 제안하는, 기본설계 평가를 위한 영향변수인, 평가요소 및 세부요소 항목들에 대한 가중치 값의 설정 및 가중치 값들의 일관성 검증과정, 등급 배수 방법의 추가 적용하는 평가 방법론은, 다양한 산업분야에 실용적인 가이드라인이 될 것이다.

Green network analysis in coastal cities using least-cost path analysis: a study of Jakarta, Indonesia

  • Kim, Jae-Eun
    • Journal of Ecology and Environment
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    • 제35권2호
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    • pp.141-147
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    • 2012
  • The rapid urbanization in developing countries is accelerating both the depletion and fragmentation of urban green space, despite the known positive effects of green spaces on the environmental conditions in cities and the quality of life of residents. Consequently, there is a need for practical tools that can support the development of networks of urban green spaces. This article presents a study that used a GIS-based least cost path (LCP) analysis to identify the best alternative for developing an urban green space network in the coastal city of Jakarta, Indonesia, which was based on the evaluation of topography and land use characteristics. Pair-wise analysis was used to reduce the sensitivity in the LCP model. The results showed that the coastal wetlands in the northern part of Jakarta and the agricultural fields in the suburban areas of Jakarta play an important role in connecting the green space network. On the other hand, some green spaces in the central part of Jakarta could not be connected by the LCP model. The method used in this study can serve as a tool to support the identification of networks of potential urban green spaces. It can also provide useful information for sustainable urban landscape planning and management in urban ecosystems. However, the inclusion of socio-economic criteria would further improve the model.

Area Extraction of License Plates Using an Artificial Neural Network

  • Kim, Hyun-Yul;Lee, Seung-Kyu;Lee, Geon-Wha;Park, Young-rok
    • 한국정보전자통신기술학회논문지
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    • 제7권4호
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    • pp.212-222
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    • 2014
  • In the current study, the authors propose a method for extracting license plate regions by means of a neural network trained to output the plate's center of gravity. The method is shown to be effective. Since the learning pattern presentation positions are defined by random numbers, a different pattern is submitted to the neural network for learning each time, which enables it to form a neural network with high universality of coverage. The article discusses issues of the optimal learning surface for a license plate covered by the learning pattern, the effect of suppression learning of the number and pattern enlargement/reduction and of concentration value conversion. Results of evaluation tests based on pictures of 595 vehicles taken at an under-ground parking garage demonstrated detection rates of 98.5%, 98.7%, and 100%, respectively.

An Analysis and Evaluation of the Effectiveness of Decision Making During the Review of Scientifically Constructed Project Proposals

  • Abdykerova, G.Zh;Bukayeva, A.D.
    • 벤처창업연구
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    • 제3권2호
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    • pp.31-44
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    • 2008
  • A selection technique for innovative projects on the beginning stage has been presented in this article. It can be applied in projects assessment in HEI, enterprises, development institutes, etc. It is rather difficult to assess the project quality on the beginning stage of R&D due to the uncertainty in the technical and economic indices but the new development analysis on this stage is of a great interest. By innovative project quality as a management object we will mean those characteristics relating to the results capacity of the projects and its realization process to satisfy the requirements to the innovative products competitiveness and their innovative attractiveness for investors. The most important question in the innovative projects management is the determination of its quality level under modern conditions. The aim of the research is to analyze and evaluate the decision making during the project management process. The objectives and hypotheses are assessment of an innovative project with the application of McKinsey's model is better to realizes by 3 stages: a) selection of optimal criteria; b) determination of weighing coefficients; c) projects positioning in a matrix.

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스마트폰을 이용한 한국 간호대학생 대상 간호교육의 통합적 고찰 (An Integrative Review of Smartphone Utilization for Nursing Education among Nursing College Students in South Korea)

  • 신혜원;이정민;김신정
    • 한국간호교육학회지
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    • 제24권4호
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    • pp.376-390
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    • 2018
  • Purpose: The purpose of this study was to (a) synthesize nursing education literature using a smartphone for Korean nursing college students based on Whittemore and Knafl's integrative five-step review method and to (b) evaluate the quality appraisal of each article using Gough's weight of evidence. Methods: Articles published in Korea were identified through electronic search engines and scholarly websites using a combination of three search terms, including nursing student, smartphone, and education. Scientific, peer-reviewed articles in nursing education for Korean college nursing students, written in Korean or in English, and published between January 2000 and May 2018 were included in this review. Thirteen papers met the inclusion criteria and had above average ratings in quality appraisals. Results: Three characteristics related to nursing education using a smartphone were derived: (a) as a familiar media, motivating learning and enabling self-directed learning, (b) for the purpose of education or evaluation utilizing the educational movie of application, and (c) the iterative exercise of smartphone usage reinforces student learning. Conclusion: Smartphone use is an effective tool for improving nursing knowledge and skills for nursing college students in nursing education. Future research is needed to standardize smartphone applications across schools for nursing education.

Mechanical and durability properties of marine concrete using fly ash and silpozz

  • Jena, T.;Panda, K.C.
    • Advances in concrete construction
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    • 제6권1호
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    • pp.47-68
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    • 2018
  • This article reports the utilization of fly ash (FA) waste product from industry and silpozz which is an agro-waste from agriculture as an environmental friendly material in construction industry. The evaluation of strength and durability study was observed using FA and silpozz as a partial replacement of Ordinary Portland Cement (OPC). The studied parameters are compressive strength, flexural strength, split tensile strength and bond strength as well as the durability study involves the acid soluble chloride (ASC), water soluble chloride (WSC), water absorption and sorptivity. Scanning electron microscopy (SEM) and XRD of selected samples are also done. It reveals from the test results that the deterioration factor (DF) in compressive strength is 4% at 365 days. The DF of split tensile strength and flexural strength is 0.96% and 0.6% at 90 days respectively. The minimum slip is 1mm and 1.1mm after 28 days of testing bond strength for NWC and SWC sample respectively. The percentage decrease in bond strength is 10.35% for 28 days SWC samples. The pre-cast blended concrete samples performed better to chloride diffusion. Modulus of elasticity of SWC samples are also studied.The water absorption and sorptivity tests are conducted after 28 days of curing.

Effect of nano glass cenosphere filler on hybrid composite eigenfrequency responses - An FEM approach and experimental verification

  • Pandey, Harsh Kumar;Hirwani, Chetan Kumar;Sharma, Nitin;Katariya, Pankaj V.;Dewangan, Hukum Chand;Panda, Subrata Kumar
    • Advances in nano research
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    • 제7권6호
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    • pp.419-429
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    • 2019
  • The effect of an increasing percentage of nanofiller (glass cenosphere) with Glass/Epoxy hybrid composite curved panels modeled mathematically using the multiscale concept and subsequent numerical eigenvalues of different geometrical configurations (cylindrical, spherical, elliptical, hyperboloid and flat) predicted in this research article. The numerical model of Glass/Epoxy/Cenosphere is derived using the higher-order polynomial type of kinematic theory in association with isoparametric finite element technique. The multiscale mathematical model utilized for the customized computer code for the evaluation of the frequency data. The numerical model validation and consistency verified with experimental frequency data and convergence test including the experimental elastic properties. The experimental frequencies of the multiscale nano filler-reinforced composite are recorded through the impact hammer frequency test rig including CDAQ-9178 (National Instruments) and LABVIEW virtual programming. Finally, the nano cenosphere filler percentage and different design associated geometrical parameters on the natural frequency data of hybrid composite structural configurations are illustrated through a series of numerical examples.

Bearing capacity of a Flysch rock mass from the characterization of the laboratory physical properties and the Osterberg test

  • Hernan Patino;Ruben A. Galindo
    • Computers and Concrete
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    • 제33권5호
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    • pp.573-594
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    • 2024
  • This article presents a research study, with both laboratory and field tests, of a deep foundation in a markedly anisotropic medium. Particularly it has focused on the evaluation of the behavior of a pile, one meter in diameter, embedded in a rocky environment with difficult conditions, in the Flysch of the Spanish city of San Sebastián. To carry out the research, the site of a bridge over the Urumea River was chosen, which was supported by pre-excavated reinforced concrete piles. 4 borings were carried out, by the rotation and washing method, with continuous sampling and combined with flexible dilatometer tests. In the field, an Osterberg load test (O-cell) was performed, while in the laboratory, determinations of natural moisture, natural unit weight, uniaxial compressive strength (UCS), point load strength (PLS), compressive wave propagation velocity (Vc) and also triaxial and direct shear tests were carried out. The research results indicate the following: a) the empirical functions that correlate the UCS with the PLS are not always linear; b) for the studied Flysch it is possible to obtain empirical functions that correlate the UCS with the PLS and with the Vc; c) the bearing capacity of the studied Flysch is much greater than if it is evaluated by different load capacity theories; d) it is possible to propose an empirical function that allows evaluating the mobilized shear strength (τm), as a function of the UCS and the displacement relative of the pile (δr).

An Effect of Information System Quality of BRIS on Perceived Usefulness and User's Continuous Use Intention

  • Kim, Sang-tae;Lee, Seung-hyeon;Lee, Kang-o
    • Agribusiness and Information Management
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    • 제11권2호
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    • pp.16-24
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    • 2019
  • BRIS has been established by the Ministry of Agriculture, Food and Rural Affairs since 2011 under Article 21 of the Act on the Preservation, Management and Utilization of Agricultural Life Resources. It is an information service that provides information related to agricultural life resources in connection with the Rural Development Administration, the Forest Service, and Korea Seed & Variety Service, Agricultural Resources and Agricultural and Livestock Quarantine Headquarters. The purpose of this study is to evaluate how the users assess the information system quality (information quality, system quality) for the current Bio Resource Information Service (BRIS). Ultimately, the structural equation modeling analyzes the causal relationship between each variable and how it responds to the user's continuous use intention. As a result, information quality among information system quality and information quality among system quality used as the main variables for the evaluation of BRIS were statistically positively influenced by users' perceived usefulness, while system quality It has been analyzed to have a positive effect on the sustained use intention. The user's continuous use intention is positively influenced by the information system quality and perceived usefulness at a statistically significant level. Especially, the perceived usefulness plays a role in mediating the user's continuous use intention.