• Title/Summary/Keyword: Quality Adaptation

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Adaptation of the Evidence-Based Nursing Practice Guideline: Prevention and Management of Moisture Associated Skin Damage (근거 기반 간호 실무지침 수용개작: 습기 관련 피부 손상의 예방과 관리)

  • Baek, Kyu Won;Park, Joo Hee;Kim, Min Kyung;Kim, Kyung Sun;Jeon, Kyoung Ok;Park, Su Hyun;Yang, Weon Ji;Hwang, Ji Won
    • Journal of Korean Clinical Nursing Research
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    • v.24 no.3
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    • pp.263-272
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    • 2018
  • Purpose: This study was done to develop an evidence-based nursing clinical practice guideline for Moisture associated skin damage (MASD) prevention and management for patients in Korea. Methods: The guideline adaptation process was used and conducted according to the guideline adaptation manual developed by the Korean Hospital Nurses Association. It consists of three main phases and 9 modules including a total of 24 steps. Results: The adapted MASD clinical practice guideline consisted of 4 sections, 8 domains and 28 recommendations. The number of recommendations in each section was: 7 on MASD assessment, 14 on MASD prevention and management, 4 on education, and 3 on organizational policy. Of the recommendations, 3.6% were marked as A grade, 28.6% as B grade, and 67.8% as C grade. Conclusion: This MASD clinical practice guideline is the first to be developed in Korea. The developed guideline will contribute to standardized and consistent MASD prevention and management. The guideline can be recommended for dissemination and utilization by nurses nationwide to improve the quality of MASD prevention and management. Regular revision is recommended.

Deep proximal margin rebuilding with direct esthetic restorations: a systematic review of marginal adaptation and bond strength

  • Hoda S. Ismail;Ashraf I. Ali;Rabab El. Mehesen;Jelena Juloski;Franklin Garcia-Godoy;Salah H. Mahmoud
    • Restorative Dentistry and Endodontics
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    • v.47 no.2
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    • pp.15.1-15.18
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    • 2022
  • This review aimed to characterize the effect of direct restorative material types and adhesive protocols on marginal adaptation and the bond strength of the interface between the material and the proximal dentin/cementum. An electronic search of 3 databases (the National Library of Medicine [MEDLINE/PubMed], Scopus, and ScienceDirect) was conducted. Studies were included if they evaluated marginal adaptation or bond strength tests for proximal restorations under the cementoenamel junction. Only 16 studies met the inclusion criteria and were included in this review. These studies presented a high degree of heterogeneity in terms of the materials used and the methodologies and evaluation criteria of each test; therefore, only a descriptive analysis could be conducted. The included studies were individually evaluated for the risk of bias following predetermined criteria. To summarize the results of the included studies, the type of restorative material affected the test results, whereas the use of different adhesive protocols had an insignificant effect on the results. It could be concluded that various categories of resin-based composites could be a suitable choice for clinicians to elevate proximal dentin/cementum margins, rather than the open sandwich technique with resin-modified glass ionomers. Despite challenges in bonding to proximal dentin/cementum margins, different adhesive protocols provided comparable outcomes.

The Structural Relationship of Positive Attitude, Leisure Attitude, and Leisure Satisfaction of University Students Participating in a Metaverse Education Program for Leisure Activities (대학생 여가 활동 지원 메타버스 교육 프로그램 참가자의 긍정적태도, 여가태도, 여가만족도의 구조적 관계)

  • Hyeon Gi Baek
    • Journal of the Korean Society of Systems Engineering
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    • v.20 no.1
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    • pp.50-63
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    • 2024
  • This study analyzed the relationships between positive attitude, leisure attitude, and leisure satisfaction among university students participating in a leisure activity support education program using the metaverse. The results are as follows. First, positive attitude was found to have a significant impact on leisure attitude. Perspective diversification influenced the cognitive and emotional factors of leisure attitude, self-acceptance influenced the emotional factor, and social adaptation influenced both the cognitive and emotional factors. Second, leisure attitude was found to have a significant impact on leisure satisfaction. Cognitive and emotional attitudes influenced all factors of leisure satisfaction, while behavioral attitude primarily influenced the relaxation factor. Third, positive attitude was found to have a significant impact on psychological, social, relaxation, and physiological factors of leisure satisfaction. Perspective diversification and self-acceptance played important roles, while social adaptation influenced all factors of leisure satisfaction. These findings provide important implications for the curriculum design of leisure activity support education programs using the metaverse for university students, focusing on enhancing positive attitude. The metaverse environment offers experiences similar to real-life interactions, which can contribute to enhancing participants' positive attitude and improving their leisure satisfaction. Program design should include elements that enhance participants' self-acceptance and social adaptation abilities, as well as focus on improving self-regulation skills. Through this, university students can enrich their leisure experiences, ultimately contributing to improving their overall quality of life.

Predicting Quality of Life in People with Cancer (추후관리 암환자의 삶의 질 영향요인 분석)

  • 오복자
    • Journal of Korean Academy of Nursing
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    • v.27 no.4
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    • pp.901-911
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    • 1997
  • The purpose of this study is to provide a basis for nursing intervention strategies to promote quality of life in cancer patients. Therefore the study is designed to evaluate the effectiveness of perceived health status, self-esteem, health locus of control, self-efficacy, perceived susceptibility /severity, health promoting behaviors, and hope for quality of life. The sample was composed of 164 stomach cancer patients who visited outpatient clinics at a university hospital in Seoul. The following instruments were used in the study after some adaptation : Lawstone and others' Health Self-rating Scale, Rosenberg's Self-esteem Scale, Wallston and others 'Multidimensional Health Locus of Control Scale, Sherer & Maddux's Self-efficacy Scale, Moon's Health Beliefs Scale, Walker and others' Health Promoting Lifestyle Profile, Nowotney's Hope scale and Noh's Quality of Life Scale. Data were analyzed using a SAS program for Pearson correlation coefficients, descriptive correlational statistics and stepwise multiple regression. The results are as follows : 1. The scores on the quality of life scale ranged from 115 to 243 with a mean of 177.84(SD : 25.35). The mean scores(range 1-5) on the different dimensions were : emotional state 3.37 : economic life 3.47 : physical state & function 3.52 : self-esteem 3.66 : relationship with neighbors 3.37 ; family relationships 3.80. 2. There was a significant correlation between all the predictive variables and the quality of life (r=.20-.65, p<.01). 3. Stepwise multiple regression analysis showed that : 1) Self-esteem was the main predictor of quality of life and accounted for 46.9% of the variance in quality of life. 2) Perceived health status, hope and perceived susceptibility/severity accounted for 11.8%, 8.3%, 1.5% of the variance in quality of life, respectively. 3) Self-esteem, perceived health status, hope & perceived susceptibility /severity combined accounted for 68.5% of the variance in quality of life. In conclusion, self-esteem, perceived health status, hope and perceived susceptibility / severity were identified as important variables in the quality of life of cancer patients.

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A Cross-layer Link Adaptive HD Video Transmission Scheme in WiMedia D-MAC based UWB Systems

  • Joo, Yang-Ick
    • Journal of Korea Multimedia Society
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    • v.15 no.12
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    • pp.1464-1474
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    • 2012
  • In this paper, we propose a QoS (Quality of Service)-aware and cooperative resource reservation scheme using cross-layer link adaptation for wireless high definition video transmission through UWB (Ultra Wide Band) network with D-MAC (Distributed Medium Access Control). A wireless high definition video transmission system usually requires stable high throughput even without line-of-sight, e.g., a destination device in another room separated by a wall. Since the WiMedia D-MAC supporting DRP (Distributed Reservation Protocol) scheme causes lots of DRP resource reservation conflicts due to failure of beacon detection in wireless channel environment, overall performances of the WiMedia D-MAC can be deteriorated. And the current WiMedia MAC standard has not considered QoS provisioning even though QoS parameters such as a range of service rates are provided to each traffic stream. Therefore, we propose Relay DRP protocol with QoS-based relay node selection criterion, which makes a relay path to avoid DRP resource reservation conflicts and guarantee QoS more stably through cross-layer link adaptation of cooperative relay transmission scheme and is compliant with the current WiMedia D-MAC protocol. Simulation results demonstrate performance improvements of the proposed method for throughput and QoS provisioning.

The Cross Cultural Adaptation For Neck Disability Questionnaires (목 기능장애 설문지의 절충 문화 적응)

  • Lim Chang-hun;Lee Hae-jung;Bae Sung-soo;Kim Jin-sang
    • The Journal of Korean Physical Therapy
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    • v.17 no.2
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    • pp.46-66
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    • 2005
  • With the increase in the number of multinational and multicultural research projects, the need to adapt health status measures for use in other than source language has also grown rapidly. Most questionnaire were developed in English-speaking countries, but even within these countries, researchers must consider immigrant populations in studies of health, especially when their exclusion could lead to a systematic bias in studies of health care utilization or quality of life. The purpose of this study was to translate and and culturally adapt the three most used neck and spinal pain disability questionnaires - the Neck Disability Index(NDI), Neck pain and Disability Scale(NPDS), and Functional Rating Index(FRI) - into the korean language and evaluated their reliability, in addition to item response pattern, to achieve a good cross cultural adaptation. Each translated questionnaire was found to have high reliability (FRI ICC (2,1)=0.86 ($95\%$ CI: 0.75-0.92); NPDS ICC (2,1)=0.90 ($95\%$ CI: 0.83-0.95 ; NDI ICC (2,1) =0.90 ($95\%$ CI: 0.81-0.94)). The reliability of the translated versions of FRI, NPDS and NDI were excellent.

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First Graders' Awareness of Home Environment and Elementary School

  • Lee, Jae-Hee;Park, Ji-Hee
    • International Journal of Advanced Culture Technology
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    • v.8 no.3
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    • pp.159-165
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    • 2020
  • The purpose of this study is to consider the home environment and awareness of elementary school students in the first grade of elementary school, and to find ways to support them. Participants were 31 1st graders in elementary schools nationwide. Data collection was conducted from June 6, 2017 to July 7, 2017. The focus group interview was used as a data collection method for this study. Results were analyzed as 'The Changing family environment that first graders think' and 'First graders' awareness of elementary school'. 'The Changing family environment that first graders think' include 'Changes in language used by parents', 'Changes in how parents and families live', and 'What to do after school'. 'First graders' awareness of elementary school' was analyzed as 'Awareness of Elementary school life', 'Awareness of peers', 'Awareness of homeroom teacher', and 'Awareness of learning'. As the conclusion of this study, we suggest that because the children have more free time than attending kindergarten, they need quality programs and support plans to support their first grade primary adjustment. Also, we propose a common problem facing first-year students: the difficulty of adjusting to study and support for how to study in an easier way.

자력복구 적응 채널등화기를 위한 Run and Go 알고리즘 (Run and Go Algorithm for Blind Equalization)

  • Chung, Won-Zoo
    • Journal of IKEEE
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    • v.10 no.1 s.18
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    • pp.62-68
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    • 2006
  • In this paper, we propose an adaptation strategy for blind equalizers, which combines a blind algorithm based on high order statistics and the decision directed LMS algorithm. In contrast to 'Stop-and-Go' algorithm, where adaptation is stopped for unreliable signals, the proposed algorithm applies high order statistics (HOS) blind algorithm to the unreliable signals and applies DD-LMS for the reliable signals. The proposed algorithm, named 'Run-and-Go' algorithm, inherits minimum MSE performance of DD-LMS and acquisition ability of blind algorithms. Furthermore, by updating the reliable signal region according to signal quality in each iteration, the convergence speed and acquisition ability is further improved.

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Meal Management Behaviors for Korean Dietary Acculturation of Multicultural Families (다문화가정의 한국 식생활 적응을 위한 식생활관리 행동)

  • Lee, Myung-Hee
    • Korean journal of food and cookery science
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    • v.32 no.1
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    • pp.76-83
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    • 2016
  • The purpose of this study was to analyze meal management behaviors for Korea dietary acculturation among multicultural families in Korea. The study compared differences in meal management behaviors among 90 multicultural families. Results of the study were as follows: cultural adaptation to Korea got higher with increasing age; marriage immigrants with longer marriage duration and with children showed higher cultural adaptation to Korea. Regarding food value of marriage immigrant women, 'eating favorite food' was the highest in the 20s, while 'satisfaction with Korean dietary lifestyle' was high in Chinese and in those with longer residency. Most of them replied 'myself' for the meal manager of their multicultural family. When surveyed on major difficulties in Korean meal management, existence of children showed significant difference for 'cooking', and period of residency and existence of children made significant difference for 'taste'. In conclusion, meal management behavior of multicultural families was influenced by socioeconomic factors. Further research is needed for more quantitative analysis and understanding of the effect of dietary patterns on nutritional status and quality of life in multicultural families.

Review on Environmental Impact Assessment and Adaptation Strategies for Climate Change (기후변화에 따른 적응대책과 환경영향평가)

  • Choi, Kwang-Ho
    • Journal of Environmental Impact Assessment
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    • v.20 no.2
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    • pp.249-256
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    • 2011
  • Causing by green house gas emission, global warming is being accelerated significantly. This global warming cause world climate to change quiet different than before and we call this phenomenon is Climate Change. Environmental Impact Assessment being implemented in Korea is to prevent predicted environmental impacts from deteriorating within the domestic information and situation. As the climate change is getting severe, new meteorological records can be occurred which is exceeded existing statistical data. According to KMA(Korea Meteorological Administration) data, maximum value of precipitation and temperature in many regions changed with new data within last decade. And these events accompanied with landslides and flooding, and these also affected on water quality in rivers and lakes. According to impacts by climate change, disasters and accidents from heavy rain are the most apprehensive parts. And water pollution caused by overflowed non-point sources during heavy rain fall, fugitive dust caused by long-term drought, and sea level rise and Tsunami may affect on seaside industrial complex should be worth consideration. In this review, necessity of mutual consideration with influences of climate change was considered adding on existing guideline.