• Title/Summary/Keyword: P4P framework

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Variation in the Index of Dental Plaque Removal and Practice Assessment after Instruction on Toothbrushing (칫솔질 교육 후 치면세균막 지수와 수행도의 변화)

  • Kim, Ki-Eun;Ahn, Eunsuk;Han, Ji-Hyoung
    • Journal of dental hygiene science
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    • v.15 no.2
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    • pp.220-225
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    • 2015
  • This study was conducted to examine O'leary index, patient hygiene performance (PHP) index, and toothbrushing practice assessment in subjects of college students in 20s who had been randomly selected. The purpose of this study is to examine if it is easy for rolling method which is recommended by many dental professionals in Korea to implement and to effectively remove dental plaque. Also, the correlations between dental plaque index and toothbrushing practice assessment with the course of time was confirmed, after instruction session on toothbrushing was provided. STATA 11.0 (StataCorp) was used for analysis. There was no significant difference on the three ways of O'leary index, PHP index, and toothbrushing practice assessment in using rolling method, bass technique and toothpick method when comparing the average resulting from first to third instruction session on toothbrushing. O'leary index, PHP index, and toothbrushing practice assessment were inspected with Kruskal-Wallis test which is used for non-parametric statistics. They were checked three times: the first, before the toothbrushing instruction was given; the second, two weeks after the toothbrushing session was given; and the third, 4 weeks after the session. The results are as follows: O'leary index stood at the lowest in the first experiment but showed the highest in the second (p=0.0001). PHP index was the highest level in the first trial and decreased in the second time, but increased again in the last examination (p=0.0001). Toothbrushing practice assessment also showed a similar tendency with PHP index (p=0.0001). In conclusion, rolling method is not the best option for everyone, and it is thought that more various toothbrushing ways need to be reviewed and recommended to people. Also, institutional framework is required for the continuous education on toothbrushing to be in place as the effectiveness of the education is decreased with time.

말기암환자 가족에 대한 호스피스 케어의 정보적 지지 제공 효과

  • Kim, Hyeon-Suk
    • Korean Journal of Hospice Care
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    • v.2 no.1
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    • pp.21-40
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    • 2002
  • Cancer is the second leading cause of the death in Korea. Family caregivers of dying patients manifest many psychological and physical symptoms of stress, and they often seek for informational support from health care providers. Unfortunately, however, few systematic studies identify the actual effect of such support on family caregivers. This study, thus, intends to evaluate the effect of informational support for hospice care. One group pretest-posttest design was used, employing the stress-coping model by Cohen and Wills as a conceptual framework. This research was conducted from July 1 to November 15, 1998, initially with 32 subjects sampled from hemato-oncology department of two general hospitals in Seoul, but reduced to 18 at the end due to the untimely death of patients or caregiver's refusal during the course of study. Informational supports were programmed to provide the family caregivers with 8 times of education and counseling as well as 24-hour hot-line for 4 weeks. A booklet that explains the various problems of hospice care was also prepared and distributed to all subjects. Data were collected by using self-report questionnaires and reviewing medical records. The tools used in this study were based on the Weinert's PRQ-II(scale of perceived social support), Spielberger's state anxiety inventory, and CES-D. Also included in the data collection were the general characteristics of family caregivers and patients, and the pain intensity and the performance status of patients. The data were analyzed with descriptive statistics, Wilcoxon sign rank test and paired t-test using SPSSWIN program. The results of the study were as follows: 1.The perceived social support of family caregivers was not significantly increased with informational support for hospice care(t=1.64, one tailed p=.060). 2.The anxiety of family caregivers was significantly reduced following informational support for hospice care(t=3.48, one tailed p=.002). 3.The depression of family caregivers was significantly reduced following informational support for hospice care(t=-2.18, one tailed=.022). 4.The pain intensity of patients with terminal cancer was significantly reduced following informational support for hospice care(t=-2.41, two tailed p=.027). The results suggest that the informational support provided to family caregivers of patients with terminal cancer reduced not only their anxiety and depression but also the pain intensity of patients. Further study is necessary to consolidate the conceptual framework of this study with expanded number of subjects. Nevertheless, it was certain that the informational support program for hospice care was very helpful to both caregivers and patients. Thus, the informational support program is strongly recommended for the hospitals which have no hospice unit yet.

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The Effect of STEAM Program on the Logical Thinking Ability of Middle School Students (융합인재교육(STEAM) 프로그램이 중학생의 논리적 사고력에 미치는 효과)

  • Bae, Sung-Hee;Kim, Hee-Soo
    • Journal of the Korean Society of Earth Science Education
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    • v.10 no.1
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    • pp.17-25
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    • 2017
  • The purpose of this study is to investigate the impact of logical thinking when applying STEAM program for middle school students. Therefore, you're creative, framework governing the conditions and be present, creative design of the emotional experience of class under the procedures of the program from a program by previous studies. STEAM improve program is entirely logical thinking to determine that 47 2nd grade in middle school student radio sampling four weeks, six round of poetry classes. Awareness stage after the program STEAM improved but there was little change in logical thinking and appears to be effective, particularly in conservation, combined logic.(p<0.05)

Design of Dynamic Service Management Model for Context-Aware Service Applications (상황인식 서비스 응용을 위한 동적 서비스 관리 모델 설계)

  • Jung Heon-Man;Lee Jung-Hyun
    • Journal of the Korea Society of Computer and Information
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    • v.11 no.4 s.42
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    • pp.165-174
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    • 2006
  • As context aware service supports a process of context acquisition and reasoning, there are many studies to facilitate the implementation of context aware service. However, these studies have not supported efficiently a user or service mobility that should be supported necessarily in ubiquitous computing environment. Therefore, this study proposes a dynamic context aware service model which supports a dynamic management of context information, service retrieval and composition for interactions between services, and service mobility. Then we design a middleware based on this model and implement the middleware. As the middleware is implemented on the OSGi framework. it can have an interoperability between the devices such as computers, PDA, home appliances, and sensors, because of using the standard interface technologies like UPnP. Jini and so on.

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Effect of span length on the fit of zirconia framework fabricated using CAD/CAM system

  • Lee, Jeong-Yol;Choi, Sang-Jin;Kim, Min-Soo;Kim, Ha-Young;Kim, Young-Soo;Shin, Sang-Wan
    • The Journal of Advanced Prosthodontics
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    • v.5 no.2
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    • pp.118-125
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    • 2013
  • PURPOSE. The purpose of this study was to evaluate the effect of the span length on the fit of zirconia framework fabricated using CAD/CAM system. MATERIALS AND METHODS. Abutments for single, 4-unit and 6-unit fixed partial prostheses were fabricated. Ten zirconia frameworks were fabricated for each group. The marginal and internal gap were presented by means of replica technique and measured by measuring microscope ($AXIO^{(R)}$, Carl Zeiss, Rochester, NY) and software (I-$solution^{(R)}$, IMT i-solution Inc., Vancouver, BC, Canada). The results were statistically analyzed by multivariate analysis test and Dunnett T3 test for post hoc test (${\alpha}$=.05). RESULTS. There were statistically significant differences at 2, 4, 7, 8 points (mesio-distal section) and b, d, e, f, g (labio-lingual section). In some marginal reference points of 6-unit group (P<.05), the marginal gap were larger than 120 ${\mu}m$. CONCLUSION. Span length of zirconia core may have an influence on marginal and internal fit. Within the limitation of this study, the increase of span length of zirconia framework of 6 or more-unit fixed partial denture may decrease the marginal and internal fit.

The effect of screw tightening techniques on the detorque value in internal connection implant superstructure (내부연결 임플란트 상부구조물에서 나사조임술식이 풀림토크값에 미치는 영향)

  • Choi, Jung-Han
    • The Journal of Korean Academy of Prosthodontics
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    • v.48 no.4
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    • pp.243-250
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    • 2010
  • Purpose: This study evaluated the effect of different screw tightening sequences and methods on detorque values in a well-fitting implant superstructure. Materials and methods: A fully edentulous mandibular master model and a metal framework directly connected to four parallel implants (Astra Tech) with a passive fit to each other were fabricated. Six stone casts were made with a splinted impression technique to represent a 'well-fitting' situation with the metal framework. Detorque values were measured twice after screw tightening using 20 Ncm. Detorque values and minimum detorque values for three screw tightening sequences (1-2-3-4, 2-4-3-1, and 2-3-1-4) and for two tightening methods (two-step and one-step) were analyzed using multi-way analysis of variance and two-way analysis of variance, respectively, at a .05 level of significance. Results: The mean detorque values for screw tightening sequences ranged from 12.8 Ncm (2-4-3-1) to 13.1 Ncm (2-3-1-4), and for screw tightening methods were 13.1 Ncm (two-step) and 11.8 Ncm (one-step). The mean of mimimum detorque values for screw tightening sequences were 11.1 Ncm (1-2-3-4) and 11.2 Ncm (2-4-3-1 and 2-3-1-4), and for screw tightening methods were 11.2 Ncm (two-step) and 9.9 Ncm (one-step). No statistically significant differences among three screw tightening sequences were found for detorque values and for mimimum detorque values. But, statistically significant differences between two screw tightening methods were found for two values. Two-step screw tightening method showed higher detorque value (P = .0003) and higher minimum detorque value (P = .0035) than one-step method. Conclusion: Within the limitations of this study, the screw tightening sequence was not a critical factor for the detorque values in a well-fitting implant superstructure by the splinted impression technique. But, two-step screw tightening method showed greater detorque values than one-step method.

How to develop tiered tests: A developmental framework using statistical indexes and four tier types in secondary physics

  • Kim, Min-Kee;Jung, Jin-Sun;Pak, Sung-Jae
    • Journal of The Korean Association For Science Education
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    • v.29 no.3
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    • pp.277-290
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    • 2009
  • In the era of the outcome-based education, multiple-choice test has been widely employed owing to its efficiency that enables educators to evaluate a quantity of students with much objectiveness. However, the prevalent test has not been reconsidered enough to overcome its apparent shortcomings: examiners' effort for developing plausible and faultless distracters defending from every falsification, and students' random guessing on key choices. For alleviating such defects, tiered test as an experimental format of multiple-choice tests has been suggested in science education. Since there has not accumulated much study on the implementation of tiered tests, our research aim is set to construct a framework suggesting statistical indexes for rationally discerning tiered units that develop an effective tiered test. Graded both by our tiered-scoring and by the conventional partial-scoring, the preliminary tiered test in secondary physics attests the improvement in its discrimination and difficulty distribution. The findings reveal that the two indexes discern effective tiered items: discrimination increase (Ct-p) and difficulty decrease (Dp-t). Based on the index information, 4 heterogeneous tier types are recommended in the content of secondary physics: directional manipulation, repeated calculation, diverse explanation, and plural variables.

Time-Coobservability in the Decentralized Supervisory Control of Timed Discrete Event Systems (시간 이산 사건 시스템의 분산 관리 제어에서 시간-상호관측가능성)

  • Park, Seong-Jin;Choi, Ho-Lim
    • Journal of Institute of Control, Robotics and Systems
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    • v.15 no.4
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    • pp.396-399
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    • 2009
  • This paper presents the notion of time-coobservability as a core condition far the existence of a decentralized supervisor achieving a given language specification in a timed discrete event system (TDES). A TDES is modeled by the framework of Brandin & Wonham [5], and the decentralized supervisory control architecture presented is extended from the untimed architecture of Yoo & Lafortune [1]. To develop the time-coobservability of a language specification, specifically this paper presents the C&P time-coobservability and D&A time-coobservability in the consideration of the event tick and forcing mechanism of decentralized supervisors.

A direct XFEM formulation for modeling of cohesive crack growth in concrete

  • Asferg, J.L.;Poulsen, P.N.;Nielsen, L.O.
    • Computers and Concrete
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    • v.4 no.2
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    • pp.83-100
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    • 2007
  • Applying a direct formulation for the enrichment of the displacement field an extended finite element (XFEM) scheme for modeling of cohesive crack growth is developed. Only elements cut by the crack is enriched and the scheme fits within the framework of standard FEM code. The scheme is implemented for the 3-node constant strain triangle (CST) and the 6-node linear strain triangle (LST). Modeling of standard concrete test cases such as fracture in the notched three point beam bending test (TPBT) and in the four point shear beam test (FPSB) illustrates the performance. The XFEM results show good agreement with results obtained by applying standard interface elements in FEM and with experimental results. In conjunction with criteria for crack growth local versus nonlocal computation of the crack growth direction is discussed.

The effects of repetitive firing processes on the optical, thermal, and phase formation changes of zirconia

  • Ozdogan, Alper;Ozdemir, Hatice
    • The Journal of Advanced Prosthodontics
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    • v.12 no.1
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    • pp.9-14
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    • 2020
  • PURPOSE. The aim of this study was to investigate the effect of different numbers of heat treatments applied to superstructure porcelain on optical, thermal, and phase formation properties of zirconia. MATERIALS AND METHODS. Forty zirconia specimens were prepared in the form of rectangular prism. Specimens were divided into four groups (n = 10) according to the number of firing at heating values of porcelain. Color differences and translucency parameter were measured, and X-ray diffraction (XRD) analysis and differential scanning calorimetry (DSC) were performed. Data were analyzed with analysis of variance (ANOVA). RESULTS. There were no statistically significant differences in ∆E, TP, L, a, and b value changes of the zirconia specimens as a result of repetitive firing processes (P>.05). CONCLUSION. Although additional firing processes up to 4 increase peak density in thermal analysis, additional firing processes up to 4 times can be applied safely as they do not result in a change in color and phase character of zircon frameworks.