• Title/Summary/Keyword: Evolve

Search Result 709, Processing Time 0.03 seconds

Effects of nursing intervention programs for women with gestational diabetes: a systematic review of randomized controlled trials (임신성 당뇨병을 가진 임산부를 위한 간호중재 프로그램의 효과: 무작위 대조군 실험연구의 체계적 문헌고찰)

  • Kim, JooHee;Chung, ChaeWeon
    • Women's Health Nursing
    • /
    • v.27 no.1
    • /
    • pp.14-26
    • /
    • 2021
  • Purpose: This study aimed to identify the effects of nursing intervention programs for women with gestational diabetes mellitus (GDM) through a critical review of recent studies. Methods: Studies related to effects of nursing intervention programs for women with GDM published in English or Korean between 2000 and 2019 were extracted from 10 electronic databases. The quality of the studies was evaluated and double-checked for accuracy by two reviewers using the Revised Cochrane Risk-of-Bias tool for randomized controlled trials. Results: Twenty studies were selected, of which 19 had a low risk of bias and one had a high risk of bias. Interventions fell into six main groups: (1) integrated interventions, (2) self-monitoring of blood glucose levels, (3) dietary interventions, (4) exercise, (5) psychotherapy, and (6) complementary therapy. This review found that nursing interventions for GDM were of many types, and integrated interventions were the most common. However, low-carbohydrate diets and blood glucose monitoring interventions did not show statistically significant results. Evidence shows that various nursing intervention programs applied to GDM improved diverse aspects of maternal, fetal, and neonatal health, including both physical and psychological aspects. Conclusion: The composition and delivery of integrated interventions continue to evolve, and these interventions affect physical and psychological indicators. Although interventions affecting physical health indicators (e.g., blood glucose levels, diet, and exercise) are important, many studies have shown that programs including psycho-emotional nursing interventions related to anxiety, depression, stress, self- efficacy, and self-management are also highly useful.

A Business Cluster of IT Enterprise (IT기업의 비즈니스클러스터)

  • Park, Jae-Sue;Park, Jung-Yong
    • Journal of the Korea Institute of Information and Communication Engineering
    • /
    • v.23 no.12
    • /
    • pp.1558-1564
    • /
    • 2019
  • Corporate business clusters create a borderless business network through value chains and value creation activities. Clusters in the IT sector are crossing regional boundaries because of their rapid technological development and short product life cycle. To investigate this phenomenon, we examined the value activities of IT companies. As a result, the global expansion of the case companies was limited, but they had business clusters that exceeded the regional boundaries. However, because the order of business clusters is not advanced, value activities are focused on productivity rather than innovation. Given the rapidly evolving nature of IT, it is necessary to evolve into a business cluster that can create new value. Companies must design and implement value-creating processes to develop new technologies or enter new markets, which can lead to cluster growth. Companies must design and implement value-creating processes to develop new technologies or enter new markets, which can lead to cluster growth.

Current Operating Status and Activation Plan of Public Library in Yongsan-gu (용산구 공공도서관 운영 현황 및 활성화 방안 연구)

  • Lee, Hye-Eun;Shin, Donghee;Ryu, Hee-Kyeung;Jeon, Kyungsun
    • Journal of the Korean BIBLIA Society for library and Information Science
    • /
    • v.32 no.1
    • /
    • pp.315-334
    • /
    • 2021
  • The objective of this study was to evolve development strategies used as primary resources for the development plan establishment of public libraries in Yongsan-gu. To reach the aims of this research, this study examined precedent studies related to the status of domestic libraries operation and development plan. This research derived integral factors such as regional characteristics, library facilities, human resources, collections, and budges to be considered for analysis of the current situations. By using in-depth interviews with librarians and professionals, the operational and development plans of public libraries in Yongsan-gu were explored. The findings presented in this study suggested development strategies such as an expansion of library infrastructure and reading culture and development of regional specialization programs and redesign the management system.

Development of a Forensic Analyzing Tool based on Cluster Information of HFS+ filesystem

  • Cho, Gyu-Sang
    • International Journal of Internet, Broadcasting and Communication
    • /
    • v.13 no.3
    • /
    • pp.178-192
    • /
    • 2021
  • File system forensics typically focus on the contents or timestamps of a file, and it is common to work around file/directory centers. But to recover a deleted file on the disk or use a carving technique to find and connect partial missing content, the evidence must be analyzed using cluster-centered analysis. Forensics tools such as EnCase, TSK, and X-ways, provide a basic ability to get information about disk clusters, but these are not the core functions of the tools. Alternatively, Sysinternals' DiskView tool provides a more intuitive visualization function, which makes it easier to obtain information around disk clusters. In addition, most current tools are for Windows. There are very few forensic analysis tools for MacOS, and furthermore, cluster analysis tools are very rare. In this paper, we developed a tool named FACT (Forensic Analyzer based Cluster Information Tool) for analyzing the state of clusters in a HFS+ file system, for digital forensics. The FACT consists of three features, a Cluster based analysis, B-tree based analysis, and Directory based analysis. The Cluster based analysis is the main feature, and was basically developed for cluster analysis. The FACT tool's cluster visualization feature plays a central role. The FACT tool was programmed in two programming languages, C/C++ and Python. The core part for analyzing the HFS+ filesystem was programmed in C/C++ and the visualization part is implemented using the Python Tkinter library. The features in this study will evolve into key forensics tools for use in MacOS, and by providing additional GUI capabilities can be very important for cluster-centric forensics analysis.

A Study on the Paradigm Phenomenon of Traditional Dance - Focusing on the Jinsoechum by Lee Dong An (전통춤의 전승 패러다임 현상에 관한 연구 - 이동안류 진쇠춤을 중심으로)

  • Bong, Jung-Min;Choi, Ji-Won
    • The Journal of the Korea Contents Association
    • /
    • v.21 no.5
    • /
    • pp.961-969
    • /
    • 2021
  • In the historical trend of Korean dance, Korean traditional dance continues to evolve through the transition to stage dance due to the modernization process, the tangibleization of traditional dance, the reconstruction or re-creation of traditional dance. Moreover, the trend of reconstruction and re-creation of traditional Korean dances has been common in traditional dance performances since the 2000s, with two directions: performance of original restoration and preservation and evolution of traditional dances. Therefore, this study is a study of the change in the form of traditional dance and the process of the evolution of traditional dance, and among them, the change of the traditional paradigm of the Lee Dong-an Ryu Jin-so dance. The paradigm shift of traditional dance was staged through the trend of the times to the extent that the original's meaning and form were not undermined, and we can recognize that the paradigm of traditional dance is a way of introducing new aspects as a way of transmission.

A Study on the Design Improvement of Digital Government for User-Centered Public Services in Korea (사용자 중심의 공공서비스를 위한 디지털 정부 서비스디자인 개선방안 연구)

  • Lee, Eun Suk;Cha, Kyung Jin
    • Journal of Information Technology Services
    • /
    • v.20 no.5
    • /
    • pp.137-146
    • /
    • 2021
  • Recently, public participation in government policy design has been further expanded and public services perceived by users are expanding. At this time, the role of the digital government and the direction of the service to be pursued are user-centered, and above all, it is necessary to focus on the keywords of pre-emptive, preventive, and customized. In order to propose service quality improvement in the public sector, service user-centered classification and monitoring are integrated and the usability of government documents is improved. It is necessary to identify the needs of whether to provide a path for public participation. In the post-corona era, people are accessing quarantine information from the digital government every day. The government should proactively respond to the acceleration of digital transformation and the non-face-to-face demands of the people who experience non-face-to-face daily life. In order to evolve into a smart organization along with the innovation promotion plan and to provide customized services, it is necessary to use existing guides for institutional and technical improvement, along with new technology and data-based analysis, to strive for change management. The government should seek counter-measures that have advanced one step ahead by incorporating new high-tech IT with user-centered necessary services. This study aims to derive improvement plans to provide user-centered digital government service design when designing public services and collecting public opinions. Based on the e-government development model research and the existing research on user-centered service design in the public sector, institutional and technical measures are provided for the improvement of digital government service design.

Development and Enhancement of Conceptual Site Model for Subsurface Environment Management (지중환경 관리를 위한 부지개념모델 구축 및 개선)

  • Bae, Min Seo;Kim, Juhee;Lee, Soonjae;Kwon, Man Jae;Jo, Ho Young
    • Journal of Soil and Groundwater Environment
    • /
    • v.27 no.spc
    • /
    • pp.1-18
    • /
    • 2022
  • A conceptual site model is used to support decision-making of response strategy development, determination, and implementation within a risk-based contaminated site management system. It aims to provide base information of the relevant site characteristics and surface/subsurface conditions in order to understand the contaminants of concern and the associated risk they pose to the receptors. This study delineated the technical details of conceptual site model development, and discussed the possibility of applying it in domestic subsurface contamination management. Conceptual site models can be developed in various formats such as tables, diagrams, flowcharts, and figures. Contaminated sites are managed for a long period of time following the steps of investigation, remediation design, remediation, verification, and post-remedation management. The conceptual site model can be enhanced in each stage of the contaminated site management based on the continuously updated information on the site's subsurface environment. In the process of enhancement for conceptual site model, precision is gradually improved, and it can evolve from a conceptual and qualitative form to a more quantitatvive and three-dimensional model. In soil pollution management, it is desirable to incorporate the conceptual site model into the soil scrutiny system to better assess the current status of the contaminated site and support follow-up investigation and management.

Safety and Efficacy of Flow Diverter Therapy for Unruptured Intracranial Aneurysm Compared to Traditional Endovascular Strategy : A Multi-Center, Randomized, Open-Label Trial

  • Kim, Junhyung;Hwang, Gyojun;Kim, Bum-Tae;Park, Sukh Que;Oh, Jae Sang;Ban, Seung Pil;Kwon, O-Ki;Chung, Joonho;Committee of Multicenter Research, Korean Neuroendovascular Society,
    • Journal of Korean Neurosurgical Society
    • /
    • v.65 no.6
    • /
    • pp.772-778
    • /
    • 2022
  • Objective : Endovascular treatment of large, wide-necked intracranial aneurysms by coil embolization is often complicated by low rates of complete occlusion and high rates of recurrence. A flow diverter device has been shown to be safe and effective for the treatment of not only large and giant unruptured aneurysms, but small and medium aneurysms. However, in Korea, its use has only recently been approved for aneurysms <10 mm. This study aims to compare the safety and efficacy of flow diversion and coil embolization for the treatment of unruptured aneurysms ≥7 mm. Methods : The participants will include patients aged between 19 and 75 years to be treated for unruptured cerebral aneurysms ≥7 mm for the first time or for recurrent aneurysms after initial endovascular coil embolization. Participants assigned to a flow diversion cohort will be treated using any of the following devices : Pipeline Flex Embolization Device with Shield Technology (Medtronic, Minneapolis, MN, USA), Surpass Evolve (Stryker Neurovascular, Fremont, CA, USA), and FRED or FRED Jr. (MicroVention, Tustin, CA, USA). Participants assigned to a coil embolization cohort will undergo traditional endovascular coiling. The primary endpoint will be complete occlusion confirmed by cerebral angiography at 12 months after treatment. Secondary safety outcomes will evaluate periprocedural and post-procedural complications for up to 12 months. Results : The trial will begin enrollment in 2022, and clinical data will be available after enrollment and follow-up. Conclusion : This article describes the aim and design of a multi-center, randomized, open-label trial to compare the safety and efficacy of flow diversion versus traditional endovascular treatment for unruptured cerebral aneurysms ≥7 mm.

Management of a traumatic anorectal full-thickness laceration: a case report

  • Fortuna, Laura;Bottari, Andrea;Somigli, Riccardo;Giannessi, Sandro
    • Journal of Trauma and Injury
    • /
    • v.35 no.3
    • /
    • pp.215-218
    • /
    • 2022
  • The rectum is the least frequently injured organ in trauma, with an incidence of about 1% to 3% in trauma cases involving civilians. Most rectal injuries are caused by gunshot wounds, blunt force trauma, and stab wounds. A 46-year-old male patient was crushed between two vehicles while he was working. He was hemodynamically unstable, and the Focused Assessment with Sonography for Trauma showed hemoperitoneum and hemoretroperitoneum; therefore, damage control surgery with pelvic packing was performed. A subsequent whole-body computed tomography scan showed a displaced pelvic bone and sacrum fracture. There was evidence of an anorectal full-thickness laceration and urethral laceration. In second-look surgery performed 48 hours later, the pelvis was stabilized with external fixators, and it was decided to proceed with loop sigmoid colostomy. A tractioned rectal probe with an internal balloon was positioned in order to approach the flaps of the rectal wall laceration. On postoperative day 13, a radiological examination with endoluminal contrast injected from the stoma after removal of the balloon was performed and showed no evidence of extraluminal leak. Rectosigmoidoscopy, rectal manometry, anal sphincter electromyography, and trans-stomic transit examinations showed normal findings, indicating that it was appropriate to proceed with the closure of the colostomy. The postoperative course was uneventful. The optimal management for extraperitoneal penetrating rectal injuries continues to evolve. Primary repair with fecal diversion is the mainstay of treatment, and a conservative approach to rectal lacerations with an internal balloon in a rectal probe could provide a possibility for healing with a lower risk of complications.

A Study on the UX-based Ethical AI-Learning Model for Metaverse (UX-기반 메타버스 윤리적 AI 학습 모델 연구)

  • Ahn, Sunghee
    • Journal of Broadcast Engineering
    • /
    • v.27 no.5
    • /
    • pp.694-702
    • /
    • 2022
  • This paper is the UX-based technology strategy research which is a solution to how conversational AI can be ethically evolved in the Metaverse environment. Since conversational AI influences people's on-offline decision-making factors through interaction with people, the Metaverse AI ethics must be reflected. In the machine learning process of conversational AI, cultural codes along with user's personal experience data must be included and considered to reduce the error value of user experience. Through this, the super-personalized Metaverse service can evolve ethically with social values. With above hypothesis as a result of the study, a conceptual model of a forward-looking perspective was developed and proposed by adding user experience data to the machine learning (ML) process for context-based interactive AI in the Metaverse service environment.